Graduated: 2002
NPI: 1750320487
Practice Locations (2)
LAKES DERMATOLOGY PA
14305 SOUTHCROSS DR W, SUITE 110
BURNSVILLE, MN 553067011
6513401064
LAKES DERMATOLOGY PA
14001 RIDGEDALE DR, SUITE 300
MINNETONKA, MN 553051783
7633164407
Source: CMS National Downloadable File, September 2026.