# MIDWEST VEIN & LASER CENTER OF LIMA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477714764
- **Authorized official:** DR. RICHARD ALLEN DAVIS MD (MANAGING PARTNER)
- **Authorized official phone:** (419) 222-8346

## Contact information

- **Practice address:** 770 W HIGH ST, SUITE 420, LIMA, OH 45801-3990
- **Practice address phone:** (419) 222-8346
- **Practice address fax:** (419) 225-8549
- **Mailing address:** 770 W HIGH ST, SUITE 420, LIMA, OH 45801-3990
- **Mailing address phone:** (419) 222-8346
- **Mailing address fax:** (419) 225-8549

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | 35.050244 | OH | Yes |

## Other

- **Enumeration date:** 06/19/2008
- **Last updated:** 10/14/2008