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LAKE SHORE CENTER FOR AESTHETICS & PLASTIC SURGERY PA
NPI 1477982171
Plastic Surgery in Lake City, FL

Active since November 04, 2013
263 SW PROFESSIONAL GLN, LAKE CITY, FL 32025(386) 755-6676(386) 755-1667 Get Directions Write a Review

NPPES record last updated: January 7, 2014. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Lake Shore Center For Aesthetics & Plastic Surgery Pa NPPES

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

LAKE SHORE CENTER FOR AESTHETICS & PLASTIC SURGERY PA (NPI 1477982171) is a healthcare organization registered as a plastic surgery in Lake City, Florida and active in the NPI registry since November 2013. The organization lists Melinda Keener, President, as its authorized official.

NPPES Registry Identity

NPI1477982171
Entity TypeOrganization
Primary Taxonomy208200000X
Legal Business NameLAKE SHORE CENTER FOR AESTHETICS & PLASTIC SURGERY PA
Location Address263 SW PROFESSIONAL GLNLake City, FL 32025-1105
Mailing Address263 Sw Professional GlnLake City, FL 32025-1105 · (386) 755-6676 · Fax (386) 755-1667
Phone(386) 755-6676
Fax(386) 755-1667
Organization SubpartNo
Authorized OfficialMelinda KeenerPresident · (386) 755-6676
Enumeration DateNovember 4, 2013
Last NPPES UpdateJanuary 7, 2014
✔ NPI 1477982171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License✔ Licensed in FL · ME 105501
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.
263 SW PROFESSIONAL GLN, Lake City, FL 32025
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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

Other Providers at the Same Location NPPES 2

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

FREEDOM HEALTH AND WELLNESS OF LAKE CITY, LLC
Family Medicine
263 SW PROFESSIONAL GLN
LAKE CITY, FL 32025
Columbia County (386) 623-0850
MELINDA G KEENER MD
Plastic Surgery
263 SW PROFESSIONAL GLN
LAKE CITY, FL 32025
Columbia County (386) 755-6676

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 Lake Shore Center For Aesthetics & Plastic Surgery PA's NPI number?

The NPI number for Lake Shore Center For Aesthetics & Plastic Surgery PA is 1477982171. It was assigned to this organization in the NPPES registry on November 4, 2013.

Where is Lake Shore Center For Aesthetics & Plastic Surgery PA located?

Lake Shore Center For Aesthetics & Plastic Surgery PA is located at 263 SW Professional Gln, Lake City, FL 32025. The listed phone number is (386) 755-6676.

What is Lake Shore Center For Aesthetics & Plastic Surgery PA's specialty?

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

When was this NPI record last updated?

The NPPES record for Lake Shore Center For Aesthetics & Plastic Surgery PA was last updated on January 7, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.