NPI 1003051020

Lazaderm Skin Care Centre PC

Organisation Dermatology Physician Sioux Falls, SD

Practice location

Address: 5011 S Louise Ave, Sioux Falls, SD 57108-2268
Phone: (605) 275-6128
Fax: (605) 373-9971
Mailing address: PO Box 5126, Sioux Falls, SD 57117-5126

Authorised official

Name: Lornell E Hansen
Title: Provider and Owner
Phone: (605) 275-6128

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X

Other Dermatology providers in South Dakota →

Registry record

NPI: 1003051020
Entity type: Organization
NPI issued: 4 Dec 2008
Record last updated: 29 Dec 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.