Lark Dermatology
NPI 1982256970ActiveOrganization· Dermatology· Bonney Lake, WA
Dermatology in Bonney Lake, Washington, registered in NPPES in July 2019. The authorized official on file is Daniel Levy, MD, Medical Director. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1982256970 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 10, 2019 |
| Last updated in NPPES | Jan 21, 2020 |
| Certified by provider | Jan 21, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | — | — |
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 (WA) |
|---|
Other Dermatology providers in Bonney Lake
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