Provider Demographics
NPI:1427246024
Name:LIED PLASTIC SURGERY, LLC
Entity type:Organization
Organization Name:LIED PLASTIC SURGERY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALLISON
Authorized Official - Middle Name:ELAINE
Authorized Official - Last Name:LIED
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:513-272-1999
Mailing Address - Street 1:4460 RED BANK RD
Mailing Address - Street 2:STE 120
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45227-2172
Mailing Address - Country:US
Mailing Address - Phone:513-272-1999
Mailing Address - Fax:513-272-0191
Practice Address - Street 1:4460 RED BANK RD
Practice Address - Street 2:STE 120
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45227-2172
Practice Address - Country:US
Practice Address - Phone:513-272-1999
Practice Address - Fax:513-272-0191
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-09
Last Update Date:2014-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH9371901Medicare PIN