Provider Demographics
NPI:1306087283
Name:ELITE PLASTIC SURGERY LLC
Entity type:Organization
Organization Name:ELITE PLASTIC SURGERY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LYNN
Authorized Official - Middle Name:
Authorized Official - Last Name:SABA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-778-6000
Mailing Address - Street 1:PO BOX 685
Mailing Address - Street 2:
Mailing Address - City:DUNN LORING
Mailing Address - State:VA
Mailing Address - Zip Code:22027-0685
Mailing Address - Country:US
Mailing Address - Phone:703-778-6000
Mailing Address - Fax:703-485-2989
Practice Address - Street 1:2235 CEDAR LN
Practice Address - Street 2:SUITE 301
Practice Address - City:VIENNA
Practice Address - State:VA
Practice Address - Zip Code:22182-5202
Practice Address - Country:US
Practice Address - Phone:703-778-6000
Practice Address - Fax:703-485-2989
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-23
Last Update Date:2023-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive SurgeryGroup - Multi-Specialty
No2082S0105XAllopathic & Osteopathic PhysiciansPlastic SurgerySurgery of the HandGroup - Multi-Specialty