Provider Demographics
NPI:1265523054
Name:RICHMOND PLASTIC SURGEONS
Entity type:Organization
Organization Name:RICHMOND PLASTIC SURGEONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:LEWIS
Authorized Official - Middle Name:T
Authorized Official - Last Name:LADOCSI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:804-285-4115
Mailing Address - Street 1:14401 SOMMERVILLE CT
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23113-6836
Mailing Address - Country:US
Mailing Address - Phone:804-285-4115
Mailing Address - Fax:
Practice Address - Street 1:1630 WILKES RIDGE PKWY STE 201
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23233-7460
Practice Address - Country:US
Practice Address - Phone:804-285-4115
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-27
Last Update Date:2018-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VACH0151Medicare PIN
VAC02018Medicare PIN