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F. VICTOR RUECKL DERMATOLOGY PLLC NPI 1174923221


NPI Information

NPI: 1174923221
Provider Name: F. VICTOR RUECKL DERMATOLOGY, PLLC

Doing Business As: LAKES DERMATOLOGY

Classification: Dermatology - 207N00000X
Entity Type: Organization

CLIA Number: 29D0983069

Address:
8861 W SAHARA AVE STE 290
LAS VEGAS, NV
ZIP 89117
Phone: (702) 869-6667
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F. VICTOR RUECKL DERMATOLOGY, PLLC is a dermatology in Las Vegas, NV. The provider is a dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. F. VICTOR RUECKL DERMATOLOGY, PLLC NPI is 1174923221. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Lakes Dermatology.

The provider's business location address is:

8861 W SAHARA AVE STE 290
LAS VEGAS, NV
ZIP 89117-808
Phone: (702) 869-6667

The provider's authorized official is Katie Rueckl .
The authorized official title is Office Manager and has the following contact phone number (702) 869-6667.

The CLIA number assigned to this NPI record is 29D0983069 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 8/26/2014 and was last updated on 10/16/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207ND0101XDermatologyMOHS-Micrographic SurgeryNo
2207N00000XDermatologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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