Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lake Plastic and Hand Surgery

Organization Plastic Surgery Physician · NPI 1427399658

Lake Plastic and Hand Surgery is a Plastic Surgery Physician in Victor, New York. Licensed in Ohio. Registered with an NPI since 2013.

Licensed in
OH
In the registry since
2013

Practice location Address checks out

6532 Anthony Dr
Victor, NY 14564-1403
Phone: (407) 453-1036
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence 096119 (OH)

Record details

NPI number1427399658
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Graham — Owner/Physician · (407) 453-1036
NPI enumeratedMarch 13, 2013
Last updated in NPPESMarch 13, 2013
Mailing address2018 Hounz Ln, Louisville, KY 40223-1246

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