Organization · Type 2 NPI

Mountain Lake Plastic Surgery PLC

Plastic Surgery Physician · Colchester, VT

NPI number 1699259648 Active

Practice location

105 Westview Rd Ste 120
Colchester, VT 05446-8025

Specialties and licenses

TaxonomyCodeLicense
Plastic Surgery Physician Primary 208200000XNone listed

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…

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About NPI 1699259648

Mountain Lake Plastic Surgery PLC's National Provider Identifier is 1699259648, issued on Sep 17, 2018. The primary taxonomy on file is Plastic Surgery Physician (208200000X), and the practice location is in Colchester, VT. The record was last updated on Dec 13, 2018.