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General NPI Number Information
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NPI Number | 1518833318
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Entity Type | Organization
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Legal Business Name | LUMIERE DERMATOLOGY & SURGERY PROFESSIONAL LLC
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Dates
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Enumeration Date | 10/17/2025
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Last Update Date | 10/17/2025
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Provider Practice Location Address
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Address Line | 125 INVERNESS DR E STE 260
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City | ENGLEWOOD
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State | CO
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Zip | 80112-5139
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Country | US
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Telephone | 720-786-5681
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Fax |
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Provider Business Mailing Address
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Address Line | 26425 E KETTLE PL
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City | AURORA
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State | CO
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Zip | 80016-7584
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Country | US
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Telephone | 720-786-5681
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Fax |
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Authorized Official
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Title or Position | DERMATOLOGIST & OWNER
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Name | CORY DUPREY
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Credential | MD
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Telephone | 720-786-5681
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number |
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License Number State |
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