Lake Plastice Surgeons ,Inc

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

LAKE PLASTICE SURGEONS ,INC

Practice address

36100 Euclid Ave Ste 490
Willoughby, OH 44094-4488

Phone

(440) 953-1818

NPI assigned

Jan 21, 2008

Last updated

Jan 21, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Lisa A Davis, M.D.NPI 1013008127

Title

Physician

Phone

(440) 953-1818

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lisa A Davis, M.D.

  • Plastic Surgery Physician
  • Willoughby, OH
  • NPI 1013008127
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1200873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200873600000",
    "number": "1144406133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36100 EUCLID AVE STE 490",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440944488",
            "telephone_number": "440-953-1818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36100 EUCLID AVE STE 490",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440944488",
            "telephone_number": "440-953-1818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE PLASTICE SURGEONS ,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-21",
        "last_updated": "2008-01-21",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "440-953-1818",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lake Hospital System Inc (Lake Health)
• Lake Hospital System, Inc. (Lake Health Physician Group)
• Lake Hospital System, Inc. (Lake Health Physician Group Vascular Access Surgery)
• Lake Hospital System, Inc.
• Lake Orthopaedic Associates, Inc.
• Lake Pulmonary Care Inc
• Lakehealth
• Julie L Lamarco, PCC
• James Scott Lane, M.D.
• Katherine L Lange, LPN

• Plastic Surgery Physician in Willoughby, OH
• Providers in Willoughby, OH by specialty
• Plastic Surgery Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.