# CENTER FOR PLASTIC SURGERY PSC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dr. Sandra Bouzaglou
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073713160
- **Authorized official:** DENISE SPARKS (OFFICE MANAGER)
- **Authorized official phone:** (859) 263-8083

## Contact information

- **Practice address:** 501 DARBY CREEK RD, SUITE 59, LEXINGTON, KY 40509-1604
- **Practice address phone:** (859) 263-8083
- **Practice address fax:** (859) 263-9160
- **Mailing address:** 501 DARBY CREEK RD, SUITE 59, LEXINGTON, KY 40509-1604
- **Mailing address phone:** (859) 263-8083
- **Mailing address fax:** (859) 263-9160

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | 25984 | KY | Yes |

## Other

- **Enumeration date:** 07/18/2007
- **Last updated:** 10/15/2008