Organization
SKIN DEEP DERMAL ARTISTRY BY LEA
Active
Other names
Skin Deep Dermal Artistry by Lea
Organization subpart
No
Provider details
NPI number
Authorized official
LEA CLIFT LSA (OWNER)
(806) 392-5216
Entity
Organization
Contact information
Practice address
7329 19TH ST, LUBBOCK, TX 79407-4301
(806) 392-5216
Mailing address
7329 19TH ST, LUBBOCK, TX 79407-4301
(806) 392-5216
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
09/07/2021
Last updated
09/07/2021
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