Lighthouse Dermatology and Skin Cancer Specialists

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

Legal business name

LIGHTHOUSE DERMATOLOGY AND SKIN CANCER SPECIALISTS

Practice address

26901 Harper Ave
Saint Clair Shores, MI 48081-1971

Phone

(248) 726-7646

NPI assigned

May 22, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Rachel Escobar, NPNPI 1881417251

Title

Office Manager

Phone

(248) 726-7646

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Miguel Angel Herrera-Martinez, MD

  • Dermatology Physician
  • Saint Clair Shores, MI
  • NPI 1669823357
  Medicare reassignment NPD
• Rachel Escobar, NP

  • Dermatology Physician
  • Saint Clair Shores, MI
  • NPI 1881417251
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1716336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744934400000",
    "number": "1689413445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6363 29 MILE RD",
            "city": "WASHINGTON",
            "state": "MI",
            "postal_code": "480952401",
            "telephone_number": "586-381-8775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26901 HARPER AVE",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480811971",
            "telephone_number": "248-726-7646"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 W Clarkston Rd",
            "address_purpose": "LOCATION",
            "city": "Lake Orion",
            "state": "MI",
            "postal_code": "483622972",
            "country_code": "US",
            "telephone_number": "248-726-7646",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIGHTHOUSE DERMATOLOGY AND SKIN CANCER SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-22",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A",
        "authorized_official_last_name": "ESCOBAR",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "248-726-7646",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Lietzau
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• Life Transitions Services LLC
• Lifetime Dental of Macomb PLLC
• Christine Denise Liff, PH.D.
• Linda Archibald LMSW LLC
• Dimitria Anna Liovas, M.D.
• Marina Sue Liovas, M.D.
• Lip Therapy and Counseling
• Melissa Lipari, PHARM.D.

• MOHS-Micrographic Surgery Physician in Saint Clair Shores, MI
• Providers in Saint Clair Shores, MI by specialty
• MOHS-Micrographic Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.