Organization · Type 2 NPI

Dermasurgery Center, LLC

Dermatology Physician · Metairie, LA

NPI number 1053579862 Active

Practice location

111 Veterans Memorial Blvd Ste 406
Metairie, LA 70005-3061

Mailing address

PO Box 746767
Atlanta, GA 30374-6767

Specialties and licenses

TaxonomyCodeLicense
Dermatology Physician Primary 207N00000XMD.200242 (LA)
MOHS-Micrographic Surgery Physician 207ND0101XMD.200242 (LA)
Dermatopathology Physician 207ND0900XMD.200242 (LA)
Procedural Dermatology Physician 207NS0135XMD.200242 (LA)

Dermatology Physician: 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 an…

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About NPI 1053579862

Dermasurgery Center, LLC's National Provider Identifier is 1053579862, issued on May 28, 2008. The primary taxonomy on file is Dermatology Physician (207N00000X), and the practice location is in Metairie, LA. The record was last updated on Aug 13, 2025.