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

Lumen Dermatology LLC

Organization Dermatology Physician · NPI 1235938341

Lumen Dermatology LLC is a Dermatology Physician in Lady Lake, Florida. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

781 Highway 466
Lady Lake, FL 32159-6340
Phone: (352) 830-1500
Fax: (352) 830-1501
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 number1235938341
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Kosiorek — President · (813) 598-9837
NPI enumeratedMarch 11, 2025
Last updated in NPPESJuly 29, 2026
Certification dateJuly 29, 2026
Mailing address4365 Se 15th Ave, Ocala, FL 34480-6613

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