Serrie C Lico in Canton - Thoracic Surgery (cardiothoracic Vascular Surgery)
Serrie C Lico - NPI 1790746790
Serrie C Lico is a Thoracic Surgery (cardiothoracic Vascular Surgery) in Canton, Ohio. Serrie C Lico practices all healthcare services and medical treatments related to Thoracic Surgery (cardiothoracic Vascular Surgery). The NPI Number for Serrie C Lico is 1790746790. The last update date is 2021-06-17.
Serrie C Lico's current location address is 1330 Mercy Dr Nw Ste 101, Canton, Ohio. You can contact this provider via phone number 3305884676 and fax number 3305884677. The mailing address for Serrie C Lico is 1330 Mercy Dr Nw Ste 101, Canton, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Serrie C Lico |
|---|---|
| Address | 1330 Mercy Dr Nw Ste 101, Canton, Ohio |
| Phone Number | 3305884676 |
| Fax Number | 3305884677 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1790746790 |
|---|---|
| Provider Enumeration Date | 2006-03-29 |
| Last Updated Date | 2021-06-17 |
Provider Mailing Address Detail
| Address | 1330 Mercy Dr Nw Ste 101 |
|---|---|
| City | Canton |
| State | Ohio (OH) |
| Post Code | 447082624 |
| Phone Number | 3305884676 |
| Fax Number | 3305884677 |
Provider's Primary Taxonomy Detail
| Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
|---|---|
| Taxonomy | 208G00000X |
| Licence No | 25MA10202300 |
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Definition: A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3112934 | NY | -- |
Post Comment/ Review Below
What is the Serrie C Lico's unique identification number?
The Serrie C Lico has been assigned the NPI (National Provider Identifier) Number 1790746790 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Serrie C Lico's physical address?
The Serrie C Lico is physically located at 1330 Mercy Dr Nw Ste 101, in the city of Canton, OH, with the postal code 447082624.
What is the area of specialization for Serrie C Lico, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Serrie C Lico is Thoracic Surgery (cardiothoracic Vascular Surgery), and the corresponding taxonomy code that categorizes this area of expertise is 208G00000X.
On what date was the 1790746790 assigned to Serrie C Lico?
The Serrie C Lico was issued its 1790746790 on 2006-03-29, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Serrie C Lico, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Serrie C Lico, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2021-06-17.