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

Lake Plastice Surgeons , Inc

Organization Plastic Surgery Physician · NPI 1144406133

Lake Plastice Surgeons , Inc is a Plastic Surgery Physician in Willoughby, Ohio. Registered with an NPI since 2008.

In the registry since
2008
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

36100 Euclid Ave Ste 490
Willoughby, OH 44094-4488
Phone: (440) 953-1818
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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

Record details

NPI number1144406133
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lisa Davis — Physician · (440) 953-1818
NPI enumeratedJanuary 21, 2008
Last updated in NPPESJanuary 21, 2008
Mailing address36100 Euclid Ave Ste 490, Willoughby, OH 44094-4488

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