Lakes Dermatology, PA
NPI 1962871608ActiveOrganization· Dermatology· Burnsville, MN
Dermatology in Burnsville, Minnesota, registered in NPPES in September 2015. The authorized official on file is Rehana Leila Ahmed-Saucedo, MD, PHD, Dermatologist, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1962871608 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 23, 2015 |
| Last updated in NPPES | Sep 23, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | 51837 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MN) |
|---|
Other Dermatology providers in Burnsville
- 1427243898
- 1417274812
- 1144386392
- 1457889909
- 1700820073
- 1174903553
- 1235403916
- 1891773784
- 1225692007
- 1144586165
- 1679718415