Organization · Type 2 NPI

Artistic Plastic Surgery Center PLLC

Plastic Surgery Physician · Tacoma, WA

NPI number 1457412017 Active

Practice location

3515 S 15th St, Suite 101
Tacoma, WA 98405-1952

Fax (253) 759-6553

Specialties and licenses

Taxonomy	Code	License
Plastic Surgery Physician Primary	208200000X	602804600 (WA)

Plastic Surgery Physician: A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to b…

5 other providers at this address

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NPI record

NPI: 1457412017
Entity type: Organization (Type 2)
Issued: Dec 13, 2006
Last updated: Jan 30, 2020
Status: Active
Subpart: Yes of Northstar Surgical Services, PLLC

Other names

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Artistic Plastic Surgery Center · doing business as

Authorized official

Kelly Lane
Administrator
(253) 756-0933

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1457412017

Artistic Plastic Surgery Center PLLC's National Provider Identifier is 1457412017, issued on Dec 13, 2006. The primary taxonomy on file is Plastic Surgery Physician (208200000X), and the practice location is in Tacoma, WA. The record was last updated on Jan 30, 2020.