The Lucas Center, Plastic Surgery, Pllc

NPI 1205185808 - Specialist - 174400000X

NPI Details
NPI 1205185808
Enumeration Date 08/29/2012
Last Updated 08/29/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name JAY H JAY
Position CHIEF OFFICER/OWNER/PHYSICIAN
Phone (865) 218-6210
Fax (865) 218-6211
Practice Location
10810 PARKSIDE DR
SUITE 310
KNOXVILLE TN, 37934, US
Phone (865) 218-6210
Fax (865) 218-6211
Business Location
10810 PARKSIDE DR
SUITE 310
KNOXVILLE TN, 37934, US
Phone (865) 218-6210
Fax (865) 218-6211
Toxanomy
Taxonomy Code 174400000X
License State Tennessee
License Number MD0000036890
Remove 1205185808 NPI Number
 

According to our database, The Lucas Center, Plastic Surgery, Pllc NPI is 1205185808, taxonomy code is 174400000X and license number is MD0000036890, license state is located at Tennessee. The Lucas Center, Plastic Surgery, Pllc physically located at 10810 Parkside Dr, Knoxville TN, 37934. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1205185808 NPI number is provided on an as is basis without warranty of any kind. 1205185808 is maintained by the National Plan & Provider Enumeration System. The contents of The Lucas Center, Plastic Surgery, Pllc are for informational purposes only.