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Visage Dermatology and Aesthetic Center, LLC

Dermatology Physician in Largo, MD · enumerated 2012 · authorized official Sharleen St. Surin-Lord, Medical Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1669716395

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Registry record

Entity type Organization (Type 2)
Legal business name Visage Dermatology and Aesthetic Center, LLC
Practice address 1400 Mercantile Ln, Suite 110, Largo, MD, 20774
Phone (240) 223-3533
Fax (240) 465-4800
Enumeration date Nov 19, 2012
Last updated in NPPES Dec 20, 2012

Taxonomy & classification

207N00000X Dermatology Physician Allopathic & Osteopathic Physicians · License D0065513 (MD) Primary

Authorized official

Name Sharleen St. Surin-Lord
Title Medical Director
Phone (240) 223-3533

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2012-12-20. Verify at npiregistry.cms.hhs.gov.
Where is Visage Dermatology and Aesthetic Center, LLC located?
The practice location on file with NPPES is in Largo, MD.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-12-20.