| NPI | 1730263336 |
|---|---|
| Doing Business As | ADVANCED DERMATOLOGY & LASER CENTER LINCOLN DERMATOLOGY A MEDICAL CORP |
| Entity Type | Organization |
| Authorized Contact | ROBERT M PEPPERCORN President 530-671-4182 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2020-08-22 |