Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dermasurgery Center, LLC

Organization Dermatology Physician · NPI 1053579862

Dermasurgery Center, LLC is a Dermatology Physician in Metairie, Louisiana. Licensed in Louisiana. Registered with an NPI since 2008.

Licensed in
LA
In the registry since
2008
Specialties on file
4
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

111 Veterans Memorial Blvd Ste 406
Metairie, LA 70005-3061
Phone: (504) 838-8225
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence MD.200242 (LA)
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X · Licence MD.200242 (LA)
Dermatopathology Physician Taxonomy 207ND0900X · Licence MD.200242 (LA)
Procedural Dermatology Physician Taxonomy 207NS0135X · Licence MD.200242 (LA)

Record details

NPI number1053579862
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Edward Lain — Md · (225) 303-9500
NPI enumeratedMay 28, 2008
Last updated in NPPESAugust 13, 2025
Certification dateAugust 13, 2025
Mailing addressPo Box 746767, Atlanta, GA 30374-6767

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