MIDWEST PLASTIC SURGERY AND LASER CENTER LLC NPI 1881765337

NPI Information

  • NPI: 1881765337
  • Provider Name: MIDWEST PLASTIC SURGERY AND LASER CENTER, LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Doing Business As: THE PLASTIC SURGERY TECHNOLOGY CENTER
  • Address: 4820 S ARROWHEAD DR
    INDEPENDENCE, MO
    ZIP 64055
  • Phone: (816) 795-5262

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NPI Details

MIDWEST PLASTIC SURGERY AND LASER CENTER, LLC is an ambulatory surgical clinic center in Independence, MO. MIDWEST PLASTIC SURGERY AND LASER CENTER, LLC NPI is 1881765337. The provider is registered as an organization entity type.
The provider Is Doing Business As The Plastic Surgery Technology Center.

The provider's business location address is:

4820 S ARROWHEAD DR
INDEPENDENCE, MO
ZIP 64055-980
Phone: (816) 795-5262
Fax: (816) 795-8979

The provider's authorized official is Jerome P. Lamb .
The authorized official title is President and has the following contact phone number (816) 795-5262.

The enumeration date for this NPI number is 11/13/2006 and was last updated on 8/22/2020.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory Surgical85-9MISSOURIYes

What is NPI?

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This page was last updated on: 11/21/2025

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