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Star City Cosmetic Surgery Llc
Medical Specialty Clinic/Center in Lincoln, Nebraska
NPI 1669138905

Star City Cosmetic Surgery Llc is a Medical Specialty Clinic/Center based in Lincoln, NE and is specialized in Medical Specialty. Star City Cosmetic Surgery Llc practices in Lincoln, NE. The NPI Number for Star City Cosmetic Surgery Llc is 1669138905 and holds a License No. (Nebraska).

The current practice location address for Star City Cosmetic Surgery Llc is 1630 S 70Th St Ste 202, Lincoln, NE and can be reached out via phone at 531-254-5458 and via fax at 531-254-5065.

Location: 1630 S 70Th St Ste 202, Lincoln, NE, 68506-1500
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1669138905
Provider Name
Star City Cosmetic Surgery Llc
Credential
Provider Entity Type
Organization
Address
1630 S 70Th St Ste 202, Lincoln, NE, 68506-1500
Phone Number
531-254-5458
Fax Number
531-254-5065
Provider Enumeration Date
11/10/2021
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2017014908 01 MO STATE MEDICAL LICENSE
2369 01 NE STATE MEDICAL LICENSE
institution
Provider Business Practice Location Address Details
Address
1630 S 70Th St Ste 202
City
Lincoln
State
Nebraska
Zip
68506-1500
Phone Number
531-254-5458
Fax Number
531-254-5065
person
Provider Business Mailing Address Details
Address
1630 S 70Th St Ste 202
City
Lincoln
State
Nebraska
Zip
68506-1500
Phone Number
531-254-5458
Fax Number
531-254-5065
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Facial Plastic Surgery
Taxonomy
207YS0123X
License No.
()
Definition
An otolaryngologist who specializes in facial plastic surgery.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Plastic Surgery
Speciality
Plastic Surgery Within the Head and Neck
Taxonomy
2082S0099X
License No.
()
Definition
A plastic surgeon with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgery is practiced, there are many additional procedures which interface with them.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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