Healthcare Provider Details

I. General information

NPI: 1467625921
Provider Name (Legal Business Name): LEGACY PLASTIC SURGEONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/05/2008
Last Update Date: 06/27/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 LOCUST ST STE 590
AKRON OH
44302-1821
US

IV. Provider business mailing address

300 LOCUST ST STE 590
AKRON OH
44302-1821
US

V. Phone/Fax

Practice location:
  • Phone: 330-374-9100
  • Fax: 330-374-9103
Mailing address:
  • Phone: 330-374-9100
  • Fax: 330-374-9103

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: JAMES A LEHMAN
Title or Position: OWNER
Credential: MD
Phone: 330-374-9100