Organization
LEYNGOLD INSTITUTE FOR PLASTIC SURGERY PLLC
Active
Other names
Leyngold Institute for Plastic Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ILYA M LEYNGOLD MD (MEDICAL DIRECTOR)
(904) 233-1269
Entity
Organization
Contact information
Practice address
3015 E GOLDSTONE DR STE 130, MERIDIAN, ID 83642-1549
(208) 900-4673
Mailing address
3015 E GOLDSTONE DR STE 130, MERIDIAN, ID 83642-1224
(208) 900-4673
(208) 266-5033
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Enumeration date
08/04/2021
Last updated
03/26/2026
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