Lockport Medispa & Skincare LLC

NPI #1255593505 in Lockport, New York

Provider Information

NPI Number: 1255593505
Entity Type: Organization
Organization Name: Lockport Medispa & Skincare LLC
Primary Specialty: Plastic Surgery
Enumeration Date: Jun 27, 2008
Last Updated: Jun 27, 2008

Practice Location

Address: 5862 S TRANSIT RD
City: Lockport
State: New York
ZIP Code: 14094-6320
Phone: (716) 434-4100

Authorized Official

Name: DR. KULWANT SINGH BHANGOO, M.D.
Title: MEDICAL DIRECTOR
Phone: (716) 434-4100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Plastic Surgery	208200000X	Primary

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