MEDICARE: HOLZAPFEL & LIED PLASTIC SURGERY CENTER PSC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QA1903X	Ambulatory Surgical Clinic/Center

General Provider Information

NPI Number	:	1730350216
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOLZAPFEL & LIED PLASTIC SURGERY CENTER PSC

Provider Business Mailing Address
First Line	:	8044 MONTGOMERY RD STE 230
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45236-2921
Country	:	US
Telephone Number	:	513-984-3223
Fax Number	:	859-578-3321

Provider Business Practice Location Address
First Line	:	8044 MONTGOMERY RD
Second Line	:	SUITE 230
City	:	CINCINNATI
State	:	OH
Zip	:	45236-2919
Country	:	US
Telephone Number	:	513-984-3223
Fax Number	:	513-984-3321

Authorized Official
Title or Position	:	MEDICAL BILLER
Name	:	SABRINA BARTRUFF
Credential	:
Telephone Number	:	859-331-9600

Provider Enumeration Date	:	03/12/2008
Last Update Date	:	08/03/2020

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