Organization
LUCENT DERMATOLOGY AND SKIN SURGERY CENTER CORP
Active
Organization
LUCENT DERMATOLOGY AND SKIN SURGERY CENTER CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM CAMP MD (OWNER/PARTNER)
(205) 612-6412
Entity
Organization
Contact information
Practice address
2000 AUBURN DR STE 120, BEACHWOOD, OH 44122-4328
(440) 234-8833
Mailing address
7550 LUCERNE DR STE 405, MIDDLEBURG HEIGHTS, OH 44130-6503
(440) 234-8833
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
02/25/2019
Last updated
02/25/2019
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