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

Skin Renaissance

Organization Clinic/Center · NPI 1962952275

Skin Renaissance is a Clinic/Center in Chesapeake, Virginia. Licensed in Virginia. Registered with an NPI since 2016.

Licensed in
VA
In the registry since
2016
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Practice location Address checks out

312 Cedar Lakes Dr Ste 103
Chesapeake, VA 23322-8374
Phone: (757) 410-2833
Fax: (757) 819-7591
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X · Licence 0024170014 (VA)

Record details

NPI number1962952275
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Julie Trask — Owner · (757) 410-2833
NPI enumeratedOctober 11, 2016
Last updated in NPPESOctober 11, 2016
Mailing address312 Cedar Lakes Dr, Suite 103, Chesapeake, VA 23322-8374

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