Organization
AESTIQUE PLASTIC SURGICAL ASSOCIATES LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THEODORE A LAZZARO MD, DMD (PRESIDENT)
(724) 832-7555
Entity
Organization
Contact information
Practice address
1 AESTHETIC WAY, GREENSBURG, PA 15601-9500
(724) 832-7555
(724) 832-7566
Mailing address
1 AESTHETIC WAY, GREENSBURG, PA 15601-9500
(724) 832-7555
(724) 832-7566
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD020003E
PA
Other
Enumeration date
06/05/2006
Last updated
01/15/2009
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