Organization · Type 2 NPI

The Dermatology Clinic of ST Tammany Ii, LLC

Procedural Dermatology Physician · Covington, LA

NPI number 1356421010 Active

Practice location

714 W 16th Ave
Covington, LA 70433-2422

Fax (985) 893-1058

Other practice locations

  • 630 S Tyler St, Covington, LA 70433-3346 · (985) 893-1035

Specialties and licenses

TaxonomyCodeLicense
Procedural Dermatology Physician Primary 207NS0135X08440 52 06 (LA)

Procedural Dermatology Physician: Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special t…

3 other providers at this address

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About NPI 1356421010

The Dermatology Clinic of ST Tammany Ii, LLC's National Provider Identifier is 1356421010, issued on Oct 17, 2006. The primary taxonomy on file is Procedural Dermatology Physician (207NS0135X), and the practice location is in Covington, LA. The record was last updated on Dec 5, 2019.