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LANDON PRYOR MD SC NPI 1093152118


NPI Information

NPI: 1093152118
Provider Name: LANDON PRYOR MD SC

Doing Business As: TRANSFORMATIONS PLASTIC SURGERY

Classification: Plastic Surgery - 208200000X
Entity Type: Organization

CLIA Number: 14D2171734

Address:
5995 SPRING CREEK RD
ROCKFORD, IL
ZIP 61114
Phone: (815) 977-4403
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LANDON PRYOR MD SC is a plastic surgery in Rockford, IL. The provider is a plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. LANDON PRYOR MD SC NPI is 1093152118. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Transformations Plastic Surgery.

The provider's business location address is:

5995 SPRING CREEK RD
ROCKFORD, IL
ZIP 61114-481
Phone: (815) 977-4403
Fax: (815) 977-5796

The provider's authorized official is Scott D Carter .
The authorized official title is Manager and has the following contact phone number (815) 977-4403.

The CLIA number assigned to this NPI record is 14D2171734 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/30/2013 and was last updated on 6/25/2019.


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
1208200000XPlastic Surgery036124349ILLINOISYes

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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