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

The Gallery of Dermatology and Advanced Aesthetics

Organization Dermatology Physician · NPI 1205408630

The Gallery of Dermatology and Advanced Aesthetics is a Dermatology Physician in Lake Charles, Louisiana. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

1936 Southwood Dr
Lake Charles, LA 70605-4131
Phone: (337) 564-7546
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1205408630
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kerri Davis-Fontenot — Owner · (337) 564-7546
Other names The Gallery
NPI enumeratedJuly 14, 2021
Last updated in NPPESJuly 14, 2021
Certification dateJuly 14, 2021
Mailing address1936 Southwood Dr, Lake Charles, LA 70605-4131

Other providers in Lake Charles