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MIDWEST VEIN & LASER CENTER OF LIMA NPI 1477714764


NPI Information

NPI: 1477714764
Provider Name: MIDWEST VEIN & LASER CENTER OF LIMA
Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

Address:
770 W HIGH ST
SUITE 420
LIMA, OH
ZIP 45801
Phone: (419) 222-8346
Get Directions

MIDWEST VEIN & LASER CENTER OF LIMA is a vascular surgery surgery in Lima, OH. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. MIDWEST VEIN & LASER CENTER OF LIMA NPI is 1477714764. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

770 W HIGH ST
SUITE 420
LIMA, OH
ZIP 45801-990
Phone: (419) 222-8346
Fax: (419) 225-8549

The provider's authorized official is Richard Allen Davis .
The authorized official title is Managing Partner and has the following contact phone number (419) 222-8346.

The enumeration date for this NPI number is 6/19/2008 and was last updated on 10/14/2008.


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
12086S0129XSurgeryVascular Surgery35.050244OHIOYes

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: 11/14/2023

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