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

Lift Aesthetic Surgery

Organization Plastic Surgery Physician · NPI 1063921260

Lift Aesthetic Surgery is a Plastic Surgery Physician in Missoula, Montana. Licensed in Montana. Registered with an NPI since 2017.

Licensed in
MT
In the registry since
2017
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Practice location Address checks out

4700 Nicole Ct
Missoula, MT 59803-2792
Phone: (215) 990-1851
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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 35293 (MT)

Record details

NPI number1063921260
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ryan Marshall — Surgeon/Owner · (215) 990-1851
NPI enumeratedSeptember 20, 2017
Last updated in NPPESJuly 21, 2022
Mailing address4700 Nicole Ct, Missoula, MT 59803-2792

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