Organization
LYSSA INC
Active
Other names
The Center of Surgical Arts
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHRISTIE MCCUTCHAN (OWNER)
(801) 262-0807
Entity
Organization
Contact information
Practice address
530 E 500 S, SALT LAKE CITY, UT 84102-2746
(801) 824-6007
Mailing address
2056 HUBBARD AVE, SALT LAKE CITY, UT 84108-1306
(801) 824-6007
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
05/30/2007
Last updated
08/22/2020
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