OrganizationActive
Lumen Dermatology LLC
NPI 1235938341 · Dermatology Physician · Lady Lake, FL
Provider details
- NPI number
- 1235938341
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- David Kosiorek, President(813) 598-9837
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
781 Highway 466
Lady Lake, FL 32159-6340
Phone: (352) 830-1500
Street-level locationGet directions
Mailing address
4365 Se 15th Ave
Ocala, FL 34480-6613
Registry dates
- Enumerated
- 2025-03-11
- Last updated
- 2025-03-16
- Certified
- 2025-03-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.