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CENTER FOR PLASTIC SURGERY PSC NPI 1073713160


NPI Information

NPI: 1073713160
Provider Name: CENTER FOR PLASTIC SURGERY PSC

Doing Business As: DR. SANDRA BOUZAGLOU

Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 18D0979876

Address:
501 DARBY CREEK RD
SUITE 59
LEXINGTON, KY
ZIP 40509
Phone: (859) 263-8083
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CENTER FOR PLASTIC SURGERY PSC is a specialist in Lexington, KY. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. CENTER FOR PLASTIC SURGERY PSC NPI is 1073713160. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Dr. Sandra Bouzaglou.

The provider's business location address is:

501 DARBY CREEK RD
SUITE 59
LEXINGTON, KY
ZIP 40509-604
Phone: (859) 263-8083
Fax: (859) 263-9160

The provider's authorized official is Denise Sparks .
The authorized official title is Office Manager and has the following contact phone number (859) 263-8083.

The CLIA number assigned to this NPI record is 18D0979876 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/18/2007 and was last updated on 10/15/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialist25984KENTUCKYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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