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

Lark Dermatology

Organization Dermatology Physician · NPI 1982256970

Lark Dermatology is a Dermatology Physician in Bonney Lake, Washington. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

21137 State Route 410 E Ste I
Bonney Lake, WA 98391-8775
Phone: (253) 862-5275
Show map & directions

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

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1982256970
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Daniel Levy — Medical Director · (253) 862-5257
NPI enumeratedJuly 10, 2019
Last updated in NPPESJanuary 21, 2020
Certification dateJanuary 21, 2020
Mailing address21137 State Route 410 E Ste I, Bonney Lake, WA 98391-8775

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