LIFT AESTHETIC SURGERY
Organization (NPI-2)
Active
Plastic Surgery
Provider Information
- NPI Number
1063921260- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 4700 NICOLE CT, MISSOULA, MT, 598032792
- Phone
- (215) 990-1851
Specialties & Taxonomies
Plastic Surgery
Primary License: MT #35293