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

Lake Loveland Dermatology PC

Organization Dermatology Physician · NPI 1679646582

Lake Loveland Dermatology PC is a Dermatology Physician in Loveland, Colorado. Works from 2 locations. Licensed in Colorado.

Licensed in
CO
In the registry since
2006
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1708 Boise Ave
Loveland, CO 80538-4204
Phone: (970) 667-3116
Fax: (970) 669-0159
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6801 W 20th St Unit 202, Greeley, CO 80634-9640 — (970) 667-3116

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X (CO)
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X

Record details

NPI number1679646582
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kevin Mott — Owner · (303) 569-7700
NPI enumeratedNovember 16, 2006
Last updated in NPPESNovember 6, 2020
Certification dateNovember 6, 2020
Mailing addressPo Box 7643, Loveland, CO 80537-0643

Other providers in Loveland