| NPI | 1083846091 |
|---|---|
| Doing Business As | LAKES SKIN CENTRE |
| Entity Type | Organization |
| Authorized Contact | HEBA ABDULLA Medical Director 201-644-0228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NJ 25MA08353300) |
| Enumeration Date | 2009-08-10 |
| Last Update Date | 2009-08-10 |