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Individual

DR. KYLE CHAMBERLAIN LAUCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
17 MAIN ST STE 304, ROBBINSVILLE, NJ 08691-1438
(609) 415-3376
(609) 415-3377
Mailing address
1203 NORTH BROAD STREET, PHILADELPHIA, PA 19123
(940) 613-3183

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
2024024963
MO
207N00000X
Dermatology Physician
Primary
25MA12656100
NJ
207N00000X
Dermatology Physician
BP20081808
TX
207ND0101X
MOHS-Micrographic Surgery Physician
25MA12656100
NJ

Other

Enumeration date
04/14/2021
Last updated
03/23/2026
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