MARY L. PUISSEGUR LUPO (NPI# 1346449949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346449949 |
| Entity Type | Organization |
| Organization Name | MARY L. PUISSEGUR LUPO |
| Other Organization Name | LUPO CENTER FOR AESTHETIC & GENERAL DERMATOLOGY |
| Practice Address |
145 Robert E Lee Blvd Suite 302 New Orleans LA 70124-2552 |
| Practice Telephone | 5047773047 |
| Practice Fax Number | 5042881535 |
| Mailing Telephone | 5047773047 |
| Mailing Fax Number | 5042881535 |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2020-09-08 |
| Authorized Official Name | MARY LUPO (OWNER) |
| Authorized Official Telephone | 5047773047 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Lupo Center for Aesthetic & General Dermatology | Doing Business As Name - Organization |
| Street Address |
145 ROBERT E LEE BLVD SUITE 302 |
| City | NEW ORLEANS |
| State | LA |
| Zip Code | 70124-2552 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649273152 | Mary P. Lupo | Dermatology | 145 Robert E Lee Blvd, Ste 302, New Orleans, LA 70124-2593 | 2005-05-30 |
| 1356714604 | Bianchini Brennan Lewis | Psychologist | 145 Robert E Lee Blvd, Ste 300, New Orleans, LA 70124-2552 | 2015-11-09 |
| 1518111418 | New Horizon Oncology Center, LLC | Internal Medicine | 145 Robert E Lee Blvd, New Orleans, LA 70124-2552 | 2008-11-05 |
| 1396827531 | Kim E. Vangeffen | Clinical Neuropsychologist | 145 Robert E Lee Blvd, Suite 306, New Orleans, LA 70124-2552 | 2006-10-19 |
| 1477668168 | Joseph Sampognaro IIi | Internal Medicine | 145 Robert E Lee Blvd, Ste. 402, New Orleans, LA 70124-2552 | 2006-08-20 |
| 1114951001 | Glenn Carl Dubroc Jr. | Dentist | 145 Robert E Lee Blvd, Suite 404, New Orleans, LA 70124-2552 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154959609 | Kalli Jean Mcgrievy | Registered Nurse | 300 Lake Marina Ave, #14be, New Orleans, LA 70124 | 2020-03-31 |
| 1336797703 | Vanessa Batiste-leal | Case Manager/Care Coordinator | 827 S. Causeway Blvd, Suite 206, Metairie, LA 70124 | 2019-08-29 |
| 1215592571 | Laura M Hernandez | Counselor | 6270 Canal Blvd., New Orleans, LA 70124 | 2019-05-02 |
| 1164955092 | Craig Murphy | Dentist | 7300 Lakeshore Drive Apartment #11, New Orleans, LA 70124 | 2017-04-07 |
| 1881091643 | Charbonnet Health LLC | Pharmacy | 7211 Regent St., New Orleans, LA 70124 | 2014-11-21 |
| 1659790871 | Randy Michael Rossignol | Internal Medicine | 100 W. Harrison Ave. Ste. 101, Suite 101, New Orleans, LA 70124 | 2014-04-15 |
| 1457699019 | Lakeview Vision Source, LLC | Optometrist | 222 Harrison Avenue, New Orleans, LA 70124 | 2013-01-16 |
| 1376890319 | Ingrid Theresa Duffy | Nurse Practitioner | 928 Hidalgo St, New Orleans, LA 70124 | 2012-08-09 |
| 1053554840 | Lindsay Elise Ford | Internal Medicine | 7030 Canal Blvd, 2nd Floor, New Orleans, LA 70124 | 2009-04-09 |
| 1407010440 | Stephen J Delahoussaye | Dentist | 7037 Canal Blvd Suite 210, New Orleans, LA 70124 | 2008-07-17 |
| Find all providers in zip 70124 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457904658 | Advanced Skin Care | Dermatology | 3434 Prytania St Ste 420, New Orleans, LA 70115-3502 | 2019-07-17 |
| 1851865869 | Southern Dermatology of New Orleans | Dermatology | 2633 Napoleon Ave Ste 1020, New Orleans, LA 70115-7403 | 2019-01-14 |
| 1336316959 | Adrian Dobrescu | Dermatology | 5333 Prytania St, New Orleans, LA 70115-4128 | 2008-05-13 |
| 1861668808 | Katherine Zibilich Holcomb | Dermatology | 145 Robert E Lee Blvd Ste 302, Naval Hospital, New Orleans, LA 70124-2593 | 2008-04-30 |
| 1720267560 | Shannon C Pickens | Dermatology | 9930 Lake Forest Blvd, Ste B, New Orleans, LA 70127-5483 | 2007-10-29 |
| 1356531677 | Stephen John Klinger | Dermatology | 450 A South Claiborne Ave., Ste. 206, New Orleans, LA 70112 | 2007-08-01 |
| 1609098912 | Sharon S. Meyer, Md, LLC | Dermatology | 3434 Prytania Street, Suite 310, Sharon S. Meyer, Md, LLC, New Orleans, LA 70115-3532 | 2007-05-03 |
| 1073682084 | Patricia R Hickham | Dermatology | 4141 Bienville St Ste 108, New Orleans, LA 70119 | 2006-11-06 |
| 1558454744 | Tulane Univ. Health Sciences Center | Dermatology | 1430 Tulane Ave # Tb-36, New Orleans, LA 70112-2632 | 2006-10-02 |
| 1699770214 | Martin D. Claiborne IIi | Dermatology | 1477 Louisiana Ave, Ste 100, New Orleans, LA 70115-3505 | 2005-06-20 |
| Find all providers in NEW ORLEANS | ||||
| City | NEW ORLEANS |
| Zip Code | 70124 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.