Organization
LAKE PLASTICE SURGEONS ,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA A DAVIS M.D. (PHYSICIAN)
(440) 953-1818
Entity
Organization
Contact information
Practice address
36100 EUCLID AVE STE 490, WILLOUGHBY, OH 44094-4488
(440) 953-1818
Mailing address
36100 EUCLID AVE STE 490, WILLOUGHBY, OH 44094-4488
(440) 953-1818
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
01/21/2008
Last updated
01/21/2008
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