Organization
LCW PRS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIZA WU MD (OWNER)
(215) 206-9705
Entity
Organization
Contact information
Practice address
5295 TOWN CENTER RD STE 402, BOCA RATON, FL 33486-1080
(215) 206-9705
Mailing address
2930 NW 26TH AVE, BOCA RATON, FL 33434-3664
(215) 206-9705
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
09/06/2022
Last updated
09/06/2022
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