Organization
LEA D CLIFT
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
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
09/07/2021
Last updated
09/08/2021
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