Graduated: 2020
NPI: 1952931792
Practice Locations (2)
LAKES DERMATOLOGY PA
14001 RIDGEDALE DR, SUITE 300
MINNETONKA, MN 553051783
7633164407
LAKES DERMATOLOGY PA
5353 WAYZATA BLVD, SUITE 505
ST LOUIS PARK, MN 554161334
7633164407
Source: CMS National Downloadable File, September 2026.