Lake Shore Center for Aesthetics & Plastic Surgery PA
NPI 1477982171 · Plastic Surgery Physician · Lake City, FL
Lake Shore Center for Aesthetics & Plastic Surgery PA is a Plastic Surgery Physician organization in Lake City, FL (NPI 1477982171).
Provider details
- NPI number
- 1477982171
- Entity type
- Organization
- Primary specialty
- Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Melinda Keener, President(386) 755-6676
- License
- ME 105501 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2013-11-04
- Last updated
- 2014-01-07
Frequently asked questions
- What is Lake Shore Center for Aesthetics & Plastic Surgery PA's NPI number?
- Lake Shore Center for Aesthetics & Plastic Surgery PA's National Provider Identifier (NPI) is 1477982171, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lake Shore Center for Aesthetics & Plastic Surgery PA?
- Lake Shore Center for Aesthetics & Plastic Surgery PA is classified in the NPPES registry as Plastic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Lake Shore Center for Aesthetics & Plastic Surgery PA located?
- Lake Shore Center for Aesthetics & Plastic Surgery PA's practice location on file with NPPES is 263 Sw Professional Gln, Lake City, FL 32025-1105.
- What is Lake Shore Center for Aesthetics & Plastic Surgery PA's phone number?
- The practice phone number listed in the NPPES registry for Lake Shore Center for Aesthetics & Plastic Surgery PA is (386) 755-6676.
- Who is the authorized official for Lake Shore Center for Aesthetics & Plastic Surgery PA?
- The authorized official listed on Lake Shore Center for Aesthetics & Plastic Surgery PA's NPPES record is Melinda Keener, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lake Shore Center for Aesthetics & Plastic Surgery PA's NPI active?
- Yes — Lake Shore Center for Aesthetics & Plastic Surgery PA's NPI (1477982171) is active in the NPPES registry as of the last update on 2014-01-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.