Organization
ARTISTIC PLASTIC SURGERY CENTER PLLC
Active
Parent organization
NORTHSTAR SURGICAL SERVICES, PLLC
Other names
Artistic Plastic Surgery Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTHSTAR SURGICAL SERVICES, PLLC
Authorized official
KELLY LANE (ADMINISTRATOR)
(253) 756-0933
Entity
Organization
Contact information
Practice address
3515 S 15TH ST, SUITE 101, TACOMA, WA 98405-1952
(253) 756-0933
(253) 759-6553
Mailing address
3515 S 15TH ST, SUITE 101, TACOMA, WA 98405-1952
(253) 756-0933
(253) 759-6553
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
602804600
WA
Other
Enumeration date
12/13/2006
Last updated
01/30/2020
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