LAKE PLASTIC AND HAND SURGERY

VICTOR, NY
NPI1427399658
Entity TypeOrganization
Authorized ContactDAVID GRAHAM
Owner/Physician
407-453-1036
Organization Subpart ?No
Primary Taxonomy208200000X Plastic Surgery
(Licence: OH  096119)
Enumeration Date2013-03-13
Last Update Date2013-03-13
Business Address
LAKE PLASTIC AND HAND SURGERY
6532 ANTHONY DR
VICTOR, NY 14564-1403
Phone number: 407-453-1036
Mailing Address
LAKE PLASTIC AND HAND SURGERY
2018 HOUNZ LN
LOUISVILLE, KY 40223-1246
Phone number: 407-453-1036
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DAVID ANTHONY GRAHAM
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