Lift Aesthetic Surgery
Specialty details in registry · Missoula, MT
At a glance
4700 Nicole Ct, Missoula, MT 59803-2792
NPPES record updated Jul 21, 2022. Public records can lag behind changes at a practice.
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Practice location
4700 Nicole CtMissoula, MT 59803-2792
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 208200000X
- Enumeration date
- Sep 20, 2017
- Record updated
- Jul 21, 2022
More registry details
- Provider type
- Organization · Type 2
Reported taxonomies and licenses
Specialty details in registry
208200000X · Primary
License reported: 35293 MT
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
4700 Nicole CtMissoula, MT 59803-2792
- Phone
- (215) 990-1851
Mailing address
4700 NICOLE CTMISSOULA, MT 598032792
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