Lake Shore Center for Aesthetics & Plastic Surgery PA
Lake Shore Center for Aesthetics & Plastic Surgery PA provides Plastic Surgery Physician services in Lake City, Florida. Licensed in Florida. Registered with an NPI since 2013.
- Licensed in
- FL
- In the registry since
- 2013
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
263 SW Professional GlnLake City, FL 32025-1105 Not confirmed with CMS for 12 years — call before visiting
Phone: (386) 755-6676
Fax: (386) 755-1667
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Plastic Surgery Physician (primary) | Taxonomy 208200000X · Licence ME 105501 (FL) |
|---|
Record details
| NPI number | 1477982171 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Melinda Keener — President · (386) 755-6676 |
| NPI enumerated | November 4, 2013 |
| Last updated in NPPES | January 7, 2014 |
| Mailing address | 263 Sw Professional Gln, Lake City, FL 32025-1105 |