# LYSSA INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Center of Surgical Arts
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780885442
- **Authorized official:** MS. CHRISTIE MCCUTCHAN (OWNER)
- **Authorized official phone:** (801) 262-0807

## Contact information

- **Practice address:** 530 E 500 S, SALT LAKE CITY, UT 84102-2746
- **Practice address phone:** (801) 824-6007
- **Mailing address:** 2056 HUBBARD AVE, SALT LAKE CITY, UT 84108-1306
- **Mailing address phone:** (801) 824-6007

## Taxonomy

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

## Other

- **Enumeration date:** 05/30/2007
- **Last updated:** 08/22/2020
