PRIVATE DIAGNOSTIC CLINIC PLLC NPI 1609116664

NPI Information

  • NPI: 1609116664
  • Provider Name: PRIVATE DIAGNOSTIC CLINIC, PLLC
  • Classification: Dermatology - 207N00000X
  • Entity Type: Organization
  • Doing Business As: VIRGINIA LIGHTNER FAMILY DERMATOLOGY
  • Address: 82 WHEATON AVE
    YOUNGSVILLE, NC
    ZIP 27596
  • Phone: (919) 562-8887

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NPI Details

PRIVATE DIAGNOSTIC CLINIC, PLLC is a dermatology in Youngsville, NC. 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. PRIVATE DIAGNOSTIC CLINIC, PLLC NPI is 1609116664. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Virginia Lightner Family Dermatology.

The provider's business location address is:

82 WHEATON AVE
YOUNGSVILLE, NC
ZIP 27596-691
Phone: (919) 562-8887

The provider's authorized official is Paul R Newman .
The authorized official title is Executive Director, Pdc and has the following contact phone number (919) 613-7652.

The enumeration date for this NPI number is 2/27/2013 and was last updated on 7/11/2022.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207N00000XDermatologyYes

What is NPI?

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This page was last updated on: 11/21/2025

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