Organization
LAKEWAY DERMATOLOGY AND SKIN CANCER
Active
Other names
MARY ANA CUNNINGHAM
Organization subpart
No
Provider details
NPI number
Authorized official
MARY ANA CUNNINGHAM M.D. (PRESIDENT)
(512) 263-0057
Entity
Organization
Contact information
Practice address
1313 RR 620 SOUTH, SUITE 201, LAKEWAY, TX 78734-6333
(512) 263-0057
(512) 263-0221
Mailing address
3464 RR 620 S, BEE CAVE, TX 78738-6805
(512) 263-0057
(512) 263-0221
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
K5280
TX
Other
Enumeration date
10/18/2006
Last updated
08/31/2016
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