Organization
INTEGRATED DERMATOLOGY OF LAKEPORT, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM S. PLOTKIN MD (AUTHORIZED GROUP OFFICIAL)
(561) 314-2000
Entity
Organization
Contact information
Practice address
5144 HILL RD E, LAKEPORT, CA 95453-6300
(707) 263-8955
(707) 263-8340
Mailing address
4700 EXCHANGE CT STE 110, BOCA RATON, FL 33431-4450
(561) 314-2000
(561) 431-2821
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
03/15/2017
Last updated
01/23/2019
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