| NPI | 1679113047 |
|---|---|
| Doing Business As | LIPEDEMA SURGICAL SOLUTIONS |
| Entity Type | Organization |
| Authorized Contact | DAWN MARIE SIMON Director Of Business Operations 636-397-4012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Enumeration Date | 2020-01-13 |
| Last Update Date | 2023-05-22 |