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

Lisa Ann Guidry Pruett, MD

Individual provider Dermatology Physician · NPI 1356367106

Lisa Ann Guidry Pruett, MD is a Dermatology in Dallas, Texas. Graduated from Louisiana State University School of Medicine in New Orleans in 2003, 23 years ago. Practices with Revival Dermatology PLLC, a 3-clinician group and accepts Medicare assignment. Licensed in Louisiana and Texas.

Years since qualifying
23
Trained at
Louisiana State University School of Medicine in New Orleans
Licensed in
LA, TX
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

8201 Preston Rd Ste 440
Dallas, TX 75225-6209
Phone: (214) 675-3227
Fax: (972) 435-4481
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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 N3700 (TX)
Dermatology Physician Taxonomy 207N00000X · Licence MD026450 (LA)
Dermatology Physician Taxonomy 207N00000X · Licence 026450 (LA)

Record details

NPI number1356367106
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 14, 2006
Last updated in NPPESFebruary 17, 2022
Certification dateFebruary 17, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolLOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduated 2003 (23 years in practice)
Group practice Revival Dermatology Pllc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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