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Organization
EASTERN KY CENTER FOR PLASTIC, RECONSTRUCTIVE & COSMETIC SURGERY
Active
Organization
EASTERN KY CENTER FOR PLASTIC, RECONSTRUCTIVE & COSMETIC SURGERY
Active
Other names
Kentucky Center for Plastic Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY LYN T. LU M.D. (PRESIDENT)
(606) 432-0061
Entity
Organization
Contact information
Practice address
126 TRIVETTE DR, SUITE 201, PIKEVILLE, KY 41501-1275
(606) 432-0061
(606) 432-0095
Mailing address
PO BOX 2257, PIKEVILLE, KY 41502-2257
(606) 432-0061
(606) 432-0095
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
04/23/2008
Last updated
07/15/2010
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