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LOUISIANA DERMATOLOGY SKIN CANCER CENTER A MEDICAL CORPORATION NPI 1356446801


NPI Information

NPI: 1356446801
Provider Name: LOUISIANA DERMATOLOGY SKIN CANCER CENTER A MEDICAL CORPORATION
Classification: Dermatology - 207N00000X
Entity Type: Organization
Address:
201 MCMILLAN RD
WEST MONROE, LA
ZIP 71291
Phone: (318) 387-6622
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LOUISIANA DERMATOLOGY SKIN CANCER CENTER A MEDICAL CORPORATION is a dermatology in West Monroe, 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. LOUISIANA DERMATOLOGY SKIN CANCER CENTER A MEDICAL CORPORATION NPI is 1356446801. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

201 MCMILLAN RD
WEST MONROE, LA
ZIP 71291-321
Phone: (318) 387-6622
Fax: (318) 387-6030

The provider's authorized official is Susan S Walsworth .
The authorized official title is Office Manager and has the following contact phone number (318) 387-6622.

The enumeration date for this NPI number is 9/13/2006 and was last updated on 8/21/2014.


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
1207N00000XDermatology013630LOUISIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1436889984AOTHERLOUISIANABLUE CROSS
21307360MEDICAIDLOUISIANA
35D838MEDICARE PINLOUISIANA
4B60618MEDICARE UPINLOUISIANA
51396704904OTHERLOUISIANADAVID WALSWORTH MD NPI #
65J817MEDICARE PINLOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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