NPI 1255513628

Zenlo Dermatology, INC.

Organisation Exclusive Provider Organization Glen Allen, VA

Practice location

Address: 10120 W Broad St Suite R, Glen Allen, VA 23060-6709
Phone: (804) 934-0060
Fax: (804) 934-0024

Authorised official

Name: Karen Royal Love
Title: Presidednt
Phone: (804) 934-0060

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 0101051656 (VA)

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Registry record

NPI: 1255513628
Entity type: Organization
NPI issued: 28 Nov 2007
Record last updated: 4 Dec 2007

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.