DERMASURGERY CENTER LLC NPI 1053579862

NPI Information

  • NPI: 1053579862
  • Provider Name: DERMASURGERY CENTER, LLC
  • Classification: Dermatology - 207N00000X
  • Entity Type: Organization
  • CLIA Number: 19D1089854
  • Address: 111 VETERANS MEMORIAL BLVD STE 406
    METAIRIE, LA
    ZIP 70005
  • Phone: (504) 838-8225

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NPI Details

DERMASURGERY CENTER, LLC is a dermatology in Metairie, LA. The provider is a dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. DERMASURGERY CENTER, LLC NPI is 1053579862. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

111 VETERANS MEMORIAL BLVD STE 406
METAIRIE, LA
ZIP 70005-061
Phone: (504) 838-8225

The provider's authorized official is Edward Lain .
The authorized official title is Md and has the following contact phone number (225) 303-9500.

The CLIA number assigned to this NPI record is 19D1089854 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 5/28/2008 and was last updated on 8/13/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207ND0101XDermatologyMOHS-Micrographic SurgeryMD.200242LOUISIANANo
2207ND0900XDermatologyDermatopathologyMD.200242LOUISIANANo
3207NS0135XDermatologyProcedural DermatologyMD.200242LOUISIANANo
4207N00000XDermatologyMD.200242LOUISIANAYes

What is NPI?

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This page was last updated on: 11/21/2025

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