NPI 1205408630

The Gallery of Dermatology and Advanced Aesthetics

Organisation Dermatology Physician Lake Charles, LA

Practice location

Address: 1936 Southwood Dr, Lake Charles, LA 70605-4131
Phone: (337) 564-7546

Authorised official

Name: Kerri Elizabeth Davis-Fontenot
Title: Owner
Phone: (337) 564-7546

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X

Other Dermatology providers in Louisiana →

Registry record

NPI: 1205408630
Entity type: Organization
NPI issued: 14 Jul 2021
Record last updated: 14 Jul 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.