Organization
COSMETIC SURGERY CENTER FOR WOMEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOANN LOPES MD (PRESIDENT)
(757) 497-5400
Entity
Organization
Contact information
Practice address
396 SOUTH WITCHDUCK RD, SUITE 100, VIRGINIA BEACH, VA 23462
(757) 497-5400
(757) 497-8811
Mailing address
396 SOUTH WITCHDUCK RD, SUITE 100, VIRGINIA BEACH, VA 23462
(757) 497-5400
(757) 497-8811
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
0101051490
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101051490
LICENSE #
—
01
—
1300214
UHUH
—
01
—
218188
ANTHEM BCBS
VA
01
—
218188
BLUE SHIELD
—
01
—
38420
SHSOPTIMA
—
01
—
5158493
AETNA
—
Enumeration date
08/05/2006
Last updated
08/22/2020
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