Shine Functional Dermatology
Shine Functional Dermatology is an Integrative Medicine Physician in Lincoln, California. Registered with an NPI since 2021.
- In the registry since
- 2021
- Specialties on file
- 3
Practice location Address checks out
566 E StLincoln, CA 95648-1861
Phone: (916) 645-1447
Fax: (916) 645-1447
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dermatology Physician (primary) | Taxonomy 207N00000X |
|---|---|
| Integrative Medicine Physician | Taxonomy 202D00000X |
| Other Specialist/Technologist | Taxonomy 246Z00000X |
Record details
| NPI number | 1205593316 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kathrine Varman — Md/Owner · (916) 953-3812 |
| Other names | Association Of Phototherapy Professionals; Phototherapy Training Institute; Shine Phototherapy Center |
| NPI enumerated | November 23, 2021 |
| Last updated in NPPES | October 24, 2023 |
| Certification date | October 24, 2023 |
| Mailing address | 566 E St, Lincoln, CA 95648-1861 |