# SMITH PLASTIC SURGERY INSTITUTE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Plastic Surgery Institute of Las Vegas
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538415989
- **Authorized official:** DR. LANE FIELDING SMITH MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (702) 838-2455

## Contact information

- **Practice address:** 8871 W SAHARA AVE, LAS VEGAS, NV 89117-5865
- **Practice address phone:** (702) 838-2455
- **Practice address fax:** (702) 838-7055
- **Mailing address:** 8871 W SAHARA AVE, LAS VEGAS, NV 89117-5865
- **Mailing address phone:** (702) 838-2455
- **Mailing address fax:** (702) 838-7055

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | Q07002575124008 | NV | Yes |

## Other

- **Enumeration date:** 08/02/2012
- **Last updated:** 08/02/2012
