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LEWISBURG PLASTIC SURGERY AND LASER CENTER
NPI 1124043708
Plastic Surgery in Lewisburg, PA

Active since July 13, 2006CLIA 39D0998150 · Waiver
135 WALTER DR, LEWISBURG, PA 17837(570) 524-7777(570) 523-9165 Get Directions Write a Review

NPPES record last updated: March 29, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lewisburg Plastic Surgery And Laser Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LEWISBURG PLASTIC SURGERY AND LASER CENTER (NPI 1124043708) is a healthcare organization registered as a plastic surgery in Lewisburg, Pennsylvania and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through April 7, 2028 and lists Ernest Normington, President, as its authorized official.

NPPES Registry Identity

NPI1124043708
Entity TypeOrganization
Primary Taxonomy208200000X
Legal Business NameLEWISBURG PLASTIC SURGERY AND LASER CENTER
Location Address135 WALTER DRLewisburg, PA 17837-7482
Mailing Address135 Walter DrLewisburg, PA 17837-7482 · (570) 524-7777 · Fax (570) 523-9165
Phone(570) 524-7777
Fax(570) 523-9165
Organization SubpartNo
Authorized OfficialErnest NormingtonPresident · (570) 524-7777
Enumeration DateJuly 13, 2006
Last NPPES UpdateMarch 29, 2016
✔ NPI 1124043708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
135 WALTER DR, Lewisburg, PA 17837
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Other Identifiers 3

OtherCAPITAL BLUE CROSSPA · 02816600
Medicare ID-Type Unspecified076571PA · Group Number
Medicare UPIN076571

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 39D0998150

Lewisburg Plastic Surgery And Laser Center · Lewisburg, PA
Active · expires Apr 7, 2028
CLIA Number39D0998150
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateApril 8, 2026
Certificate Expiration DateApril 7, 2028
Laboratory DirectorDr. Alexander P. Moya
Laboratory Phone(570) 524-7777
Laboratory LocationLewisburg Plastic Surgery And Laser Center135 Walter Drive, Lewisburg, PA 17837
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DNA CENTRAL, INC.
In Home Supportive Care
135 WALTER DR, SUITE #1
LEWISBURG, PA 17837
Union County (570) 523-1810
MRS. ERIN DANIELLE ABUNASSAR PA
Physician Assistant (Medical)
135 WALTER DR
LEWISBURG, PA 17837
Union County (570) 524-7777
DR. ALEXANDER P. MOYA M.D.
Plastic Surgery
135 WALTER DR
LEWISBURG, PA 17837
Union County (570) 524-7777
MRS. LORI ANN MARTIN H.I.S.
Hearing Instrument Specialist
135 WALTER DR, SUIT 2
LEWISBURG, PA 17837
Union County (570) 523-5023
LEWISBURG PLASTIC SURGERY AND LASER CENTER
Clinic/Center (Ambulatory Surgical)
135 WALTER DR
LEWISBURG, PA 17837
Union County (570) 524-7777

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lewisburg Plastic Surgery And Laser Center's NPI number?

The NPI number for Lewisburg Plastic Surgery And Laser Center is 1124043708. It was assigned to this organization in the NPPES registry on July 13, 2006.

Where is Lewisburg Plastic Surgery And Laser Center located?

Lewisburg Plastic Surgery And Laser Center is located at 135 Walter Dr, Lewisburg, PA 17837. The listed phone number is (570) 524-7777.

What is Lewisburg Plastic Surgery And Laser Center's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Does Lewisburg Plastic Surgery And Laser Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D0998150) is associated with this NPI, valid through April 7, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Lewisburg Plastic Surgery And Laser Center was last updated on March 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.