Paulina Bao Tran Le, MD

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

LL84413 Issued in SC

Practice address

Prisma Health Medical Group Plastic Surgery
2 Medical Park, Ste 302
Columbia, SC 29203

Phone

(803) 545-5800

Fax

(803) 928-0492

NPI assigned

Jun 17, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: ple381459@direct.ghs.myhfn.org

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

{
    "created_epoch": "1592352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592352000000",
    "number": "1407472251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PRISMA HEALTH MEDICAL GROUP PLASTIC SURGERY",
            "address_2": "2 MEDICAL PARK, STE 302",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PRISMA HEALTH MEDICAL GROUP PLASTIC SURGERY",
            "address_2": "2 MEDICAL PARK, STE 302",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29203",
            "telephone_number": "803-545-5800",
            "fax_number": "803-928-0492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "PAULINA",
        "middle_name": "BAO TRAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-17",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "SC",
            "license": "LL84413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Marie Lazaro, MD
• Lailane Lazaro
• LDB Charrm Transportation LLC
• Le Bonheur Group Inc
• Jessica Alice Le, APRN
• Stephanie Marie Le, MD
• Marcus A Leach, PT
• Megan Ashleigh Leach, PT, DPT
• Rose Leach
• Natalya Leacock, APRN

• Plastic and Reconstructive Surgery Physician in Columbia, SC
• Providers in Columbia, SC by specialty
• Plastic and Reconstructive Surgery Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2020; 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.