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

Lakes Dermatology, PA

Organization Dermatology Physician · NPI 1962871608

Lakes Dermatology, PA is a Dermatology Physician in Burnsville, 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

14305 Southcross Dr W Ste 110
Burnsville, MN 55306-7009
Phone: (612) 387-4627
Fax: (612) 377-9713
Show map & directions

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

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 51837 (MN)

Record details

NPI number1962871608
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rehana Ahmed-Saucedo — Dermatologist, President · (612) 387-4627
NPI enumeratedSeptember 23, 2015
Last updated in NPPESSeptember 23, 2015
Mailing address2732 Irving Ave S, Suite 110, Minneapolis, MN 55408-1049

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