Organization
MIDWEST PLASTIC SURGERY AND LASER CENTER, LLC
Active
Other names
The Plastic Surgery Technology Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEROME P. LAMB M.D. (PRESIDENT)
(816) 795-5262
Entity
Organization
Contact information
Practice address
4820 S ARROWHEAD DR, INDEPENDENCE, MO 64055-6980
(816) 795-5262
(816) 795-8979
Mailing address
4820 S ARROWHEAD DR, INDEPENDENCE, MO 64055-6980
(816) 795-5262
(816) 795-8979
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
85-9
MO
Other
Enumeration date
11/13/2006
Last updated
08/22/2020
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