Lookup NPI Numbers from the NPI Registry
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Ambulatory Surgical |
261QA1903X | 49 | Ambulatory Surgical Center |
| NPI Number | 1902964174 |
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| LBN Legal business name | 4TH STREET LASER & SURGERY CENTER INC | ||||||||||||
| Authorized official | ELAYNE CLARK - (ADMINISTRATOR) | ||||||||||||
| Entity | Organization | ||||||||||||
| Organization subpart 1 | No | ||||||||||||
| Enumeration date | 12/04/2006 | ||||||||||||
| Last updated | 01/17/2013 - About 13 years ago | ||||||||||||
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4TH STREET LASER & SURGERY CENTER INC
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4TH STREET LASER & SURGERY CENTER INC