| NPI | 1477850329 |
|---|---|
| Doing Business As | LINCOLN ROAD DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | MARCY ALVAREZ Owner/Physician 306-397-8622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: FL OS10899) |
| Enumeration Date | 2011-02-11 |
| Last Update Date | 2016-06-13 |