Organization · Type 2 NPI
Pura Plastic Surgery
Plastic and Reconstructive Surgery Physician · Lexington, SC
NPI number
1447619218
Active
Practice location
5351 Sunset Blvd
Lexington, SC 29072-9159
Fax (803) 490-7645
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| MOHS-Micrographic Surgery Physician | 207ND0101X | 33186 (SC) |
| Otolaryngic Allergy Physician | 207YX0602X | 33186 (SC) |
| Otolaryngology/Facial Plastic Surgery Physician | 207YX0905X | 33186 (SC) |
| Plastic Surgery Physician | 208200000X | 33186 (SC) |
| Surgery of the Hand (Surgery) Physician | 2086S0105X | 33186 (SC) |
| Plastic and Reconstructive Surgery Physician Primary | 2086S0122X | 33186 (SC) |
Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.
About NPI 1447619218
Pura Plastic Surgery's National Provider Identifier is 1447619218, issued on Feb 22, 2016. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Lexington, SC. The record was last updated on Jan 13, 2017.