Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Integra Dermatology PA

Organization Dermatology Physician · NPI 1366820136

Integra Dermatology PA is a Dermatology Physician in Edina, Minnesota. Licensed in Minnesota. Registered with an NPI since 2015.

Licensed in
MN
In the registry since
2015
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7373 France Ave S Ste 510
Edina, MN 55435-4551
Phone: (612) 767-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 1944 (MN)

Record details

NPI number1366820136
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mimi Lam — Owner · (612) 767-6000
NPI enumeratedMay 13, 2015
Last updated in NPPESJune 22, 2021
Certification dateJune 22, 2021
Mailing address7373 France Ave S Ste 510, Edina, MN 55435-4551

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