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A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Vascular Surgery |
2086S0129X | 76 | Physician/Peripheral Vascular Disease | |
Durable Medical Equipment & Medical Supplies |
332B00000X | 54 | Other Medical Supply Company |
| NPI Number | 1629437397 |
| LBN Legal business name | CENTER FOR VEIN RESTORATION IN, LLC |
| Authorized official | LORENA THOMAS - (CREDENTIALING MANAGER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 02/23/2016 |
| Last updated | 06/18/2024 - More than a year ago |
| Identifiers | n/a |
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CENTER FOR VEIN RESTORATION IN, LLC