Organization
THE PLASTIC SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH LUCICH MD (OWNER)
(317) 495-3686
Entity
Organization
Contact information
Practice address
10967 ALLISONVILLE RD STE 110, FISHERS, IN 46038-2634
(317) 495-3686
Mailing address
1121 E CALLOWAY ST, BLOOMINGTON, IN 47401-8378
(317) 752-1257
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
07/03/2026
Last updated
08/09/2026
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