Provider Demographics
NPI:1962843631
Name:SKLAR, LINDSAY RACHEL (MD)
Entity Type:Individual
Prefix:DR
First Name:LINDSAY
Middle Name:RACHEL
Last Name:SKLAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:5839 W MAPLE RD STE 109
Mailing Address - Street 2:
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48322-2278
Mailing Address - Country:US
Mailing Address - Phone:248-855-7500
Mailing Address - Fax:248-855-5627
Practice Address - Street 1:5839 W MAPLE RD STE 109
Practice Address - Street 2:
Practice Address - City:WEST BLOOMFIELD
Practice Address - State:MI
Practice Address - Zip Code:48322-2278
Practice Address - Country:US
Practice Address - Phone:248-855-7500
Practice Address - Fax:248-855-5627
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-10
Last Update Date:2021-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA148309207N00000X
MI4301103176390200000X, 207ND0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ND0101XAllopathic & Osteopathic PhysiciansDermatologyMOHS-Micrographic Surgery
No207N00000XAllopathic & Osteopathic PhysiciansDermatology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program