OrganizationActive
Medical Cosmetic Center, LLC
NPI 1174655880 · Plastic Surgery Physician · Evansville, IN
Provider details
- NPI number
- 1174655880
- Entity type
- Organization
- Primary specialty
- Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Lisa Hastetter, Practice Manager(812) 476-6161
- License
- 01062143A (IN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
7145 E Virginia St
Suite 2000
Evansville, IN 47715-9124
Phone: (812) 476-6161
Fax: (812) 476-6162
Approximate (ZIP-level) locationGet directions
Mailing address
7145 E Virginia St
Evansville, IN 47715-9124
Registry dates
- Enumerated
- 2007-03-09
- Last updated
- 2007-10-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.