Physicians and Providers


Dr. Lisa Renfro

Specializing in Mohs surgery and dermatologic surgery, board-certified dermatologist Dr. Lisa Renfro has performed over 12,000 Mohs surgeries and over 20,000 surgical excisions for skin cancer.

Over the years, Dr. Renfro has treated basal cell carcinoma, melanoma, sebaceous carcinoma, extramammary Paget’s disease, malignant fibrous histiocytoma, dermatofibrosarcoma protuberans and microcystic adnexal carcinoma. She has performed more than 1,000 malignant melanoma excisions.

Among the region’s most recognized dermatologic surgeons, Dr. Renfro graduated Summa Cum Laude and Phi Beta Kappa from the University of Connecticut. Her first undergraduate degree was conferred by Syracuse University. She attended medical school at the University of Connecticut School of Medicine and trained in internal medicine at Boston University. She completed her dermatology residency at New York University’s Skin and Cancer Hospital where she was appointed chief resident. She has served on the faculty of New York University as a clinical instructor at New York University Hospital and Bellevue Hospital. After receiving her board certification in general dermatology, she completed specialty fellowship training in dermatologic surgery and Mohs surgery, also at New York University’s Skin and Cancer Hospital.

Dr. Renfro’s science research at New York University focused on cellular biology. Clinical research experience includes studies with laser systems. Published numerous times in peer-reviewed articles in scientific journals, she has also written abstracts, a chapter and a book. A leader in Mohs surgery, she speaks and presents locally and nationally on scientific, dermatologic, laser, skin care and skin cancer topics.

A Diplomate of the American Board of Dermatology and Fellow of the American Academy of Dermatology, the American College of Mohs Surgery and Cutaneous Oncology, the American Society for Dermatologic Surgery and the Association of Academic Dermatologic Surgeons, Dr. Renfro is a member of the Washington D.C. Dermatologic Society and the Maryland Dermatologic Society.

She has served as a consultant for the American Academy of Dermatology, chairman for Maryland of the Dermatology Foundation and participant on the Derm Infonet Task Force. Dr. Renfro was named a professional expert consultant to Med Chi of Maryland and has served as a professional consultant for major insurance carriers. She is an attending physician at Anne Arundel Medical Center.

Dr. Renfro maintains current and active specialty board certification in dermatology, having successfully completed the required recertification exam in the past 10 years.

Dr. Emma Lanuti

Dr. Emma Lanuti holds board certifications in both dermatology and dermatopathology. She practices all aspects of general dermatology, and has specific interests in dermatopathology, hair loss, contact dermatitis and Botox/Dysport injections.

Dr. Lanuti graduated Magna Cum Laude from the University of Illinois at Urbana-Champaign in 2004, and received her medical degree from the University of Miami in 2008. While in medical school, she received the University of Miami Department of Dermatology 2008 Outstanding Student of the Year Award. She then went on to complete her dermatology residency and dermatopathology fellowship at the University of Miami. She was recognized for excellence in resident dermatology teaching, and participated in research on psoriasis and transplant dermatoses. During training, Dr. Lanuti co-authored numerous publications, presentations and a book chapter. She is active in the American Academy of Dermatology and American Society of Dermatopathology.

Dr. Lanuti and her husband, Peter, live in Annapolis and enjoy sailing and traveling.

Dr. Thomas Meskey

Dr. Thomas Meskey, a board-certified dermatologist, received multiple awards for academic excellence while pursuing his college and medical degrees. He currently practices all aspects of general dermatology for both adult and pediatric patients.

Dr. Meskey’s specific dermatology interests include the diagnosis and treatment of melanoma, skin cancer and contact dermatology. Additionally, he has participated in research on melanoma skin cancer, and has developed a teledermatology program for the diagnosis and treatment of dermatology conditions.

Upon graduation from Pennsylvania State University, Dr. Meskey was awarded highest honors. His Doctorate of Medicine degree was conferred from the University of Maryland, where he graduated magna cum laude. While in medical school he received numerous awards including the Gold Humanism Honor award and induction into the Alpha Omega Alpha honorary society for academic excellence. Dr. Meskey subsequently completed dermatology residency training at Pennsylvania State Medical Center where he served as chief resident.

As a member of the American Academy of Dermatology, he has presented at national and regional dermatology conferences on diverse scientific and medical topics.

Dr. Meskey lives with his wife and daughter in the Annapolis area.

Nurse Practitioners

Alexa Littlejohn, NP

Alexa Littlejohn earned her Bachelors of Science in Nursing degree from the University of Florida, where she graduated with highest honors and was named an Anderson Scholar of Highest Distinction. Her interest in Dermatology compelled her to work at the UF Health Hospital burn unit, where she gained extensive experience performing thousands of burn dressings. While working in the hospital she discovered her passion for providing a full range of dermatologic care in order to improve patient quality of life.

She then received her Masters of Science in Nursing from the Johns Hopkins University School of Nursing, where she graduated with highest honors. She was the recipient of the Francile E. Clark Merit Scholarship, as well as the Alma Hunt/VCM Geriatric grant. During her clinical rotations she gained experience in diagnosing and treating a large range of common dermatologic problems.

Her professional goals are to provide care that is empathetic and of the highest quality, and to impact her community through outreach and education. Ms. Littlejohn is certified through the American Academy of Nurse Practitioners (AANP) and licensed through the State of Maryland, and her professional affiliations include the American Academy of Nurse Practitioners.

Physician Assistants

What is a Physician Assistant?

A physician assistant (PA) is a health care professional licensed or credentialed to practice medicine with physician supervision. As part of their responsibilities, PAs conduct physical exams, diagnose and treat illnesses, perform biopsies and treat multiple types of skin lesions, order and interpret tests, counsel patients on preventive health care, assist in surgery and write prescriptions.

Within the physician-PA relationship, PAs often make medical decisions and provide a broad range of diagnostic and therapeutic services. PAs may also teach, conduct research and do administrative work.

Education and Training

A PA’s education and training is accredited by the Accreditation Review Commission on Education for the Physician Assistant (ARC-PA). The typical program lasts between 24 and 32 months and requires at least a four year college degree and health care experience prior to admission. Graduates receive either a Master's degree in Physician Assistant Studies or a Physician Assistant degree.

After earning their degree and before beginning to practice, PAs must pass the national certification examination administered by the National Commission on Certification of Physician Assistants. They must also obtain state authorization to practice through state licensure, registration or certification. To maintain national certification, PAs must complete 100 hours of continuing medical education every two years and pass a recertification examination every six years.

Integral to Your Care Team

While your Annapolis Dermatology physician has ultimate responsibility for your care, your PA shares in that responsibility. They work together as a team, shoulder to shoulder, to ensure that each patient receives the very best available care and the most compassionate caring.

Reid Raleigh, PA-C

An experienced surgical assistant, Mr. Raleigh specializes in full skin surveys and in evaluation and diagnosis of general dermatologic cases.

Reid Raleigh received a Bachelor of Science degree in education from the State University of New York at Cortland. In 1998 he received certification as a physician assistant from Anne Arundel Community College. Mr. Raleigh is licensed by the State of Maryland and nationally certified by the National Commission on Certification of Physician Assistants. Mr. Raleigh spent his first six years in occupational and urgent care medicine but has always had a strong interest in dermatology.

Reid Raleigh has extensive experience assisting with Mohs surgery and dermatologic surgery. He now specializes in full skin surveys and in the evaluation and diagnosis of general dermatologic cases. Professional memberships include the American Academy of Physician Assistants (AAPA) and the Society of Dermatology Physician Assistants (SDPA).

Jim Heins, PA-C

Having assisted in or performed more than 10,000 cases, Mr. Heins is a highly qualified physician assistant with extensive expertise in dermatologic and Mohs surgeries.

Jim Heins received his Bachelor’s degree from Bowling Green State University and his certification as a physician assistant from Anne Arundel Community College, where he received the Exemplary Award. Mr. Heins has extensive experience providing general dermatologic care to patients at Annapolis Dermatology Associates and has assisted in thousands of skin cancer surgery cases.

Licensed by the State of Maryland and nationally certified by the National Commission on Certification of Physician Assistants. Mr. Heins’ professional memberships include the Society of Dermatology Physician Assistants (SDPA) and the Maryland Academy of Physician Assistants. (MAPA)

Caroline Buehler, MMS, PA-C

Caroline Buehler received her Masters of Science at Philadelphia University in Physician Assistant Studies. Her clinical rotations focused on dermatology and surgery.

Caroline’s initial education was undertaken at Loyola University New Orleans where she graduated with a bachelor’s degree in graphic design and communications. Shortly thereafter, a personal experience with melanoma provoked a compelling interest in dermatology. Accordingly, she completed a Baccalaureate Pre- Health Program where she excelled in science courses (Virginia Commonwealth University). She then went on to pursue her Master’s Degree as a Physician Assistant.

Caroline’s innate artistic abilities combined with her background in the art field have made her transition into dermatology seamless. Her artistic and visual skills are invaluable in dermatology, notably in the diagnosis and treatment of skin cancer.

Ms. Buehler is licensed in Maryland and is nationally certified by the National Commission on Certification of Physician Assistants. Professional memberships include The American Academy of Physician Assistants (AAPA) and the Society of Dermatology Physician Assistants (SDPA).

Jennie Dulin

Jennie Dulin earned her Bachelor of Arts degree in biology from Saint Mary’s College of Maryland. She focused both on pre-med and ecological classes in her undergraduate studies. Upon graduation, she worked locally for the Chesapeake Bay Program for a year before being introduced to the PA profession. She earned her Physician Assistant Certificate from Anne Arundel Community College in 2009, with a strong interest in surgical subspecialties and completion of a dermatology rotation. She concurrently earned her Master’s degree from Saint Francis University. For the first eight years of her career she practiced in orthopedic surgery with extensive focus upon surgery, and gained extensive experience in first assisting and surgical wound closure.

She is excited to bring her surgical experience to Annapolis Dermatology Associates. Jennie Dulin is nationally certified by NCCPA and licensed by the state of Maryland. She resides in Annapolis with her husband and two children.

The Best


My experience with Annapolis Dermatology Associates was outstanding!!


As usual, everything at this facility is done in an outstanding and totally professional manner.


Dr. Renfro and the nurses were extremely courteous, informative and professional. They made you feel at ease.


Dr. Renfro and crew – Excellent procedures and bedside manner


Great Team!!


Everyone was so nice and reassuring! Dr. Renfro was very nice and treated me like I was her only patient!


Staff is consistently knowledgeable, friendly and courteous. Always a positive experience.


Thank you for making my surgical procedure so easy!


Perfectly professional.


Consistently superior over the 20+ years I’ve been using this practice. Keep up the great effort.


Many, many years of always top-notch, professional care. Thank you so much!


Jim and staff are great! Beautiful facility.

Beautiful and well-appointed office. I was impressed with every aspect, from the desk staff to the doctor.


Service and assistants’ attentiveness is one of the best I have received in any medical facility I have experienced.

Excellent as always.


The team was very professional. It was a great experience – well done!!!

Christine was an amazing PA.


A fantastic experience.

This is the most professional medical practice I have ever had the pleasure to use. I cannot thank Dr. Renfro enough.


Dr. Renfro was extremely competent.


Kudos to Dr. Renfro and her staff.


Outstanding care by all involved – Dr. Lanuti and staff


EVERYONE is kind, welcoming, attentive and professional.


Best doctor visit in 56 years. Painless and fun.


Jim Heins and your entire staff are awesome! A+ Jim is patient, professional and friendly.

Jim Heins is outstanding. He is friendly, thorough and an excellent P.A. Thanks

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