LAKESHORE DERM & LASER CENTER PLC – NPI #1538209945
Dermatology

Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).

Health Care Provider Taxonomy Code for Dermatology

LAKESHORE DERM & LASER CENTER PLC is a dermatologist located in NORTON SHORES, MI. NPPES has assigned the NPI number 1538209945 to LAKESHORE DERM & LASER CENTER PLC on February 07, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207NS0135X from the Health Care Provider Taxonomy code set, which is classified as Dermatology, specializing in Procedural Dermatology

The NPI profile was previously updated about 13 years ago on Oct 22, 2013. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LAKESHORE DERM & LASER CENTER PLC below.

NPI Profile for
LAKESHORE DERM & LASER CENTER PLC

NPI Number
1538209945
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LAKESHORE DERM & LASER CENTER PLC
Primary location
6225 PRAIRIE ST
NORTON SHORES, MI 49444-7831
Phone: (231) 798-9500 Fax: (231) 798-9533
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JASON VAN ITTERSUM
OWNER
Phone: (231) 798-9500
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207NS0135X
- Dermatology / Procedural Dermatology (Primary)		 MI

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.