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

Lakeside Dermatology , PA

Organization Dermatology Physician · NPI 1619973054

Lakeside Dermatology , PA is a Dermatology Physician in Cornelius, North Carolina. Licensed in North Carolina. Registered with an NPI since 2005.

Licensed in
NC
In the registry since
2005
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

19900 W Catawba Ave Ste B
Cornelius, NC 28031-4032
Phone: (704) 892-4878
Fax: (704) 892-7453
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 9400198 (NC)

Record details

NPI number1619973054
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nancy Astle — President/Physician · (704) 892-4878
NPI enumeratedJune 21, 2005
Last updated in NPPESMarch 23, 2011
Mailing address19900 W Catawba Ave, Ste B, Cornelius, NC 28031-4032

Other providers in Cornelius