Organization
LAM PLASTIC SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRYSTAL MCKENNA (ADMINISTRATOR)
(646) 712-0448
Entity
Organization
Contact information
Practice address
848 TOWN CENTER DRIVE, LANGHORNE, PA 19047-3439
(855) 702-8600
(215) 827-5999
Mailing address
612 CORPORATE WAY STE 2M, VALLEY COTTAGE, NY 10989-2027
(718) 362-1411
(718) 362-1651
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
OS008678L
PA
Other
Enumeration date
11/12/2016
Last updated
06/09/2020
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