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Zen Lo Dermatology, Inc
Specialist in Glen Allen, Virginia
NPI 1679755789

Zen Lo Dermatology, Inc is a Specialist based in Glen Allen, VA. Zen Lo Dermatology, Inc practices in Glen Allen, VA. The NPI Number for Zen Lo Dermatology, Inc is 1679755789 and holds a License No. 0101051656 (Virginia).

The current practice location address for Zen Lo Dermatology, Inc is 10120 West Broad Street, Glen Allen, VA and can be reached out via phone at 804-934-0060.

Location: 10120 West Broad Street, Glen Allen, VA, 23060
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1679755789
Provider Name
Zen Lo Dermatology, Inc
Credential
Provider Entity Type
Organization
Address
10120 West Broad Street, Glen Allen, VA, 23060
Phone Number
804-934-0060
Fax Number
Provider Enumeration Date
11/30/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DD7147 01 VA MEDICARE RAILROAD
183408 01 VA ANTHEM
C09951 01 VA MEDICARE GROUP
institution
Provider Business Practice Location Address Details
Address
10120 West Broad Street
City
Glen Allen
State
Virginia
Zip
23060
Phone Number
804-934-0060
Fax Number
person
Provider Business Mailing Address Details
Address
10120 West Broad Street
City
Glen Allen
State
Virginia
Zip
23060
Phone Number
804-934-0060
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
0101051656 (Virginia)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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