Midwest Vein & Laser Center of Lima

NPI #1477714764 in Lima, Ohio

Provider Information

NPI Number: 1477714764
Entity Type: Organization
Organization Name: Midwest Vein & Laser Center of Lima
Primary Specialty: Surgery - Vascular Surgery
Enumeration Date: Jun 19, 2008
Last Updated: Oct 14, 2008

Practice Location

Address: 770 W HIGH ST
Address 2: SUITE 420
City: Lima
State: Ohio
ZIP Code: 45801-3990
Phone: (419) 222-8346

Authorized Official

Name: DR. RICHARD ALLEN DAVIS, MD
Title: MANAGING PARTNER
Phone: (419) 222-8346

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery - Vascular Surgery — Vascular Surgery	2086S0129X	Primary

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