Organization
LIGHTHOUSE DERMATOLOGY AND SKIN CANCER SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL ESCOBAR NP (OFFICE MANAGER)
(248) 726-7646
Entity
Organization
Contact information
Practice address
26901 HARPER AVE, SAINT CLAIR SHORES, MI 48081-1971
(248) 726-7646
Mailing address
6363 29 MILE RD, WASHINGTON, MI 48095-2401
(586) 381-8775
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
—
—
Other
Enumeration date
05/22/2024
Last updated
04/18/2025
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