ZEN LO DERMATOLOGY INC NPI 1679755789

NPI Information

  • NPI: 1679755789
  • Provider Name: ZEN LO DERMATOLOGY, INC
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 10120 WEST BROAD STREET
    SUITE R
    GLEN ALLEN, VA
    ZIP 23060
  • Phone: (804) 934-0060

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NPI Details

ZEN LO DERMATOLOGY, INC is a specialist in Glen Allen, VA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. ZEN LO DERMATOLOGY, INC NPI is 1679755789. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

10120 WEST BROAD STREET
SUITE R
GLEN ALLEN, VA
ZIP 23060
Phone: (804) 934-0060

The provider's authorized official is Karen Royal Love .
The authorized official title is President and has the following contact phone number (804) 934-0060.

The enumeration date for this NPI number is 11/30/2007 and was last updated on 11/30/2007.

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
1174400000XSpecialist0101051656VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100W433Z01MEDICARE UPINVIRGINIA
2C09951OTHERVIRGINIAMEDICARE GROUP
3183408OTHERVIRGINIAANTHEM
4DD7147OTHERVIRGINIAMEDICARE RAILROAD

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: 11/21/2025

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