Organization Active NPI

Lea D Clift

Doing business as Skin Deep Dermal Artistry by Lea

  • Surgical Physician Assistant
  • Lubbock, TX
National Provider Identifier
1780353466
Registry record updated Sep 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Legal business name
LEA D CLIFT
Doing business as
Skin Deep Dermal Artistry by Lea
Practice address
7329 19TH St
Lubbock, TX 79407-4301
Phone
(806) 392-5216
NPI assigned
Sep 7, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2021

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

Authorized official

Name
Lea Clift, LSANPI 1083293799
Title
Owner
Phone
(806) 392-5216

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AS0400X Primary

Addresses

Primary practice location

7329 19TH St
Lubbock, TX 79407-4301

Mailing address

7329 19TH St
Lubbock, TX 79407-4301
Phone (806) 392-5216

Other names 1

  • Skin Deep Dermal Artistry by Lea Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lea D Clift2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7329 19th St
Lubbock, TX 79407
Phone (806) 392-5216

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1630972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631059200000",
    "number": "1780353466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7329 19TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794074301",
            "telephone_number": "806-392-5216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7329 19TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794074301",
            "telephone_number": "806-392-5216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEA D CLIFT",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-07",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "status": "A",
        "authorized_official_last_name": "CLIFT",
        "authorized_official_first_name": "LEA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "806-392-5216",
        "authorized_official_credential": "LSA"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Skin Deep Dermal Artistry by Lea",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2021; 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.