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Aqua Dermatology of Alabama PC

MOHS-Micrographic Surgery Physician in Vestavia Hls, AL · enumerated 2008 · authorized official Karen Lake, Administration.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1477708642

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Registry record

Entity type Organization (Type 2)
Legal business name Aqua Dermatology of Alabama PC
Other name <Unavail>
Practice address 1940 Stonegate Dr Ste 130, Vestavia Hls, AL, 35242
Phone (205) 977-9876
Fax (205) 977-9976
Enumeration date Dec 1, 2008
Last updated in NPPES Jun 25, 2024

Taxonomy & classification

207N00000X Dermatology Physician Allopathic & Osteopathic Physicians · License 20579 (AL) Secondary
207ND0101X MOHS-Micrographic Surgery Physician Allopathic & Osteopathic Physicians · License 20579 (AL) Primary
207NS0135X Procedural Dermatology Physician Allopathic & Osteopathic Physicians · License 20579 (AL) Secondary

Authorized official

Name Karen Lake
Title Administration
Phone (205) 977-9786

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Aqua Dermatology of Alabama PC?
The NPI for Aqua Dermatology of Alabama PC is 1477708642, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Aqua Dermatology of Alabama PC?
NPPES lists Karen Lake (Administration) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-06-25.