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Lakeside Dermatology , PA

Dermatology Physician in Cornelius, NC · enumerated 2005 · authorized official Nancy Astle, President/Physician.

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

National Provider Identifier

1619973054

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Registry record

Entity type Organization (Type 2)
Legal business name Lakeside Dermatology , PA
Practice address 19900 W Catawba Ave, Suite B, Cornelius, NC, 28031
Phone (704) 892-4878
Fax (704) 892-7453
Enumeration date Jun 21, 2005
Last updated in NPPES Mar 23, 2011

Taxonomy & classification

207N00000X Dermatology Physician Allopathic & Osteopathic Physicians · License 9400198 (NC) Primary

Authorized official

Name Nancy Astle
Title President/Physician
Phone (704) 892-4878

Other identifiers

Identifier Type State Issuer
01056 Other NC BCBS
CA0767 Other - RAILROAD MEDICARE
E82914 Other - UPIN

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 Lakeside Dermatology , PA?
The NPI for Lakeside Dermatology , PA is 1619973054, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Lakeside Dermatology , PA?
NPPES lists Nancy Astle (President/Physician) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-03-23.