| NPI | 1194186833 |
|---|---|
| Doing Business As | LAKES DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | CRYSTAL ELIZABETH MEYER Owner 712-336-2728 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA A-118055) |
| Enumeration Date | 2016-03-08 |
| Last Update Date | 2022-12-21 |