Lake Plastice Surgeons ,inc

NPI #1144406133 in Willoughby, Ohio

Provider Information

NPI Number
1144406133
Entity Type
Organization
Organization Name
Lake Plastice Surgeons ,inc
Primary Specialty
Plastic Surgery
Enumeration Date
Jan 21, 2008
Last Updated
Jan 21, 2008

Practice Location

Address
36100 EUCLID AVE STE 490
State
Ohio
ZIP Code
44094-4488
Phone
(440) 953-1818

Authorized Official

Name
DR. LISA A DAVIS, M.D.
Title
PHYSICIAN
Phone
(440) 953-1818

Specialties & Taxonomy Codes

Specialty
Plastic Surgery

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