| Lakewood Ranch Oral And Facial Surgery | |
|
7170 University Pkwy Sarasota FL 34240 | |
| (941) 212-2328 | |
| (941) 258-9546 |
| Full Name | Lakewood Ranch Oral And Facial Surgery |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 7170 University Pkwy, Sarasota, Florida |
| Authorized Official Name and Position | Austin Loren Lyman (OWNER) |
| Authorized Official Contact | 9412122328 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakewood Ranch Oral And Facial Surgery 7170 University Pkwy Sarasota FL 34240 Ph: (941) 212-2328 | Lakewood Ranch Oral And Facial Surgery 7170 University Pkwy Sarasota FL 34240 Ph: (941) 212-2328 |
| NPI Number | 1508642059 |
|---|---|
| Provider Enumeration Date | 08/31/2023 |
| Last Update Date | 08/31/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508642059 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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