Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Ambulatory Surgical |
261QA1903X | 49 | Ambulatory Surgical Center |
| NPI Number | 1245346923 |
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| LBN Legal business name | AESTHETIC PLASTIC SURGERY INSTITUTE OF LOUISVILLE, LLC | ||||||||||||||||
| Authorized official | MARK CHARIKER - (MEDICAL DIRECTOR) | ||||||||||||||||
| Entity | Organization | ||||||||||||||||
| Organization subpart 1 | No | ||||||||||||||||
| Enumeration date | 08/22/2006 | ||||||||||||||||
| Last updated | 08/22/2020 - About 6 years ago | ||||||||||||||||
| Identifiers |
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