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Organization

SANOVA DERMATOLOGY PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. EDWARD LAIN MD (PRESIDENT/MD)
(512) 266-0007
Entity
Organization

Contact information

Practice address
12319 N MOPAC EXPY STE 100, AUSTIN, TX 78758-2486
(512) 837-3376
(512) 837-3377
Mailing address
PO BOX 746768, ATLANTA, GA 30374-6768
(512) 837-3376
(512) 837-3377

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary

Other

Enumeration date
09/21/2011
Last updated
06/13/2025
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