| NPI | 1780353466 |
|---|---|
| Doing Business As | SKIN DEEP DERMAL ARTISTRY BY LEA |
| Entity Type | Organization |
| Authorized Contact | LEA CLIFT Owner 806-392-5216 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
| Enumeration Date | 2021-09-07 |
| Last Update Date | 2021-09-08 |