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

LP Derm LLC

Organization Dermatology Physician · NPI 1538875786

LP Derm LLC is a Dermatology Physician in Providence, Utah. Works from 3 locations. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2
What do these letters mean?
LP — Limited partnership
A form of business registration, not a clinical qualification.
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

517 W 100 N Ste 103
Providence, UT 84332-9824
Phone: (435) 554-8442
Show map & directions

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

Additional practice locations (2)

  • 970 Medical Dr Ste 311, Brigham City, UT 84302-3284 — (435) 554-8442
  • 1325 N 600 E Ste 101, Logan, UT 84341-6743 — (435) 554-8442

Specialties & licences

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

Record details

NPI number1538875786
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationLP Derm LLC
Authorized official Cory Maughan — Owner · (435) 554-8442
Other names Lone Pine Dermatology
NPI enumeratedJanuary 30, 2023
Last updated in NPPESJanuary 30, 2023
Certification dateJanuary 30, 2023
Mailing address517 W 100 N Ste 103, Providence, UT 84332-9824

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