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

Lake Loveland Dermatology PC

Organization Dermatology Physician · NPI 1700487675

Lake Loveland Dermatology PC is a Dermatology Physician in Fort Collins, Colorado. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
4
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1101 Oakridge Dr
Fort Collins, CO 80525-5528
Phone: (970) 667-3116
Fax: (970) 669-0159
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X
Dermatopathology Physician Taxonomy 207ND0900X
Procedural Dermatology Physician Taxonomy 207NS0135X

Record details

NPI number1700487675
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kevin Mott — Owner · (303) 569-7700
NPI enumeratedNovember 5, 2020
Last updated in NPPESJanuary 19, 2021
Certification dateJanuary 19, 2021
Mailing addressPo Box 7643, Loveland, CO 80537-0643

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