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Organization

DERMASURGERY CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. EDWARD LAIN M.D. (MD)
(225) 303-9500
Entity
Organization

Contact information

Practice address
111 VETERANS MEMORIAL BLVD STE 406, METAIRIE, LA 70005-3061
(504) 838-8225
Mailing address
PO BOX 746767, ATLANTA, GA 30374-6767
(225) 303-9500

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD.200242
LA
207ND0101X
MOHS-Micrographic Surgery Physician
MD.200242
LA
207ND0900X
Dermatopathology Physician
MD.200242
LA
207NS0135X
Procedural Dermatology Physician
MD.200242
LA

Other

Enumeration date
05/28/2008
Last updated
08/13/2025
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