No, mine was done by a dermatologist at Johns Hopkins. It may seem weird for a derma to do it, but she had done MANY and was more than qualified. Typically, ENT's, oral surgeons and dermatologists are the ones that do lip biopsies.

The most important point is that they have done many of them and that the pathologist is qualified to properly read them (this is actually the bigger problem---lack of qualified pathologists skilled reading them). Hopefully you will get a detailed report showing the name and scale they used for grading the specimen. It's all about the number of foci (focus = an aggregate of 50 or more lymphocytes, histiocytes and plasma cells) in a 4 mm sq area. YOu must have more then one focus for a positive diagnosis.