# EASTERN KY CENTER FOR PLASTIC, RECONSTRUCTIVE & COSMETIC SURGERY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kentucky Center for Plastic Surgery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982879888
- **Authorized official:** DR. MARY LYN T. LU M.D. (PRESIDENT)
- **Authorized official phone:** (606) 432-0061

## Contact information

- **Practice address:** 126 TRIVETTE DR, SUITE 201, PIKEVILLE, KY 41501-1275
- **Practice address phone:** (606) 432-0061
- **Practice address fax:** (606) 432-0095
- **Mailing address:** PO BOX 2257, PIKEVILLE, KY 41502-2257
- **Mailing address phone:** (606) 432-0061
- **Mailing address fax:** (606) 432-0095

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/23/2008
- **Last updated:** 07/15/2010