Healthcare Provider Details

I. General information

NPI: 1235001074
Provider Name (Legal Business Name): DERMATOLOGY PHYSICIANS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2025
Last Update Date: 09/22/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

203 NORTH LIME STREET
LANCASTER PA
17602-2729
US

IV. Provider business mailing address

203 NORTH LIME STREET
LANCASTER PA
17602-2729
US

V. Phone/Fax

Practice location:
  • Phone: 717-392-6267
  • Fax: 717-392-6059
Mailing address:
  • Phone: 717-392-6267
  • Fax: 717-392-6059

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: TANYA MULL
Title or Position: MANAGER
Credential:
Phone: 717-392-6267