LAKE LOVELAND DERMATOLOGY PC – Dermatology Physician, NPI 1679646582
Dermatology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for LAKE LOVELAND DERMATOLOGY PC
6801 W 20th St Unit 202
Greeley, CO 806349640
Phone: (970) 667-3116
Fax: (970) 669-0159
Type: Location
Loveland Post Office, 200, Loveland–Madeira Road, Loveland, Hamilton County, Ohio, 45140, United States
LOVELAND, CO 805370643
Phone: (970) 663-2742
Fax: (970) 342-2093
Type: Mailing
1708, North Boise Avenue, Browns Corner, Loveland, Larimer County, Colorado, 80537, United States
LOVELAND, CO 805384204
Phone: (970) 667-3116
Fax: (970) 669-0159
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-09-23
PECOS data refreshed: 2026-05-27
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 80634)
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