Boston Laser Network One, LLC

NPI #1174998819 in Lawrence, Massachusetts

Provider Information

NPI Number: 1174998819
Entity Type: Organization
Organization Name: Boston Laser Network One, LLC
Primary Specialty: Ophthalmology
Enumeration Date: Dec 7, 2015
Last Updated: Dec 8, 2015

Practice Location

Address: 25 MARSTON ST
Address 2: SUITE 104
City: Lawrence
State: Massachusetts
ZIP Code: 01841-2310
Phone: (978) 685-5366

Authorized Official

Name: DR. SAMIR MELKI, MD
Title: OWNER/AUTHORIZED OFFICIAL
Phone: (978) 685-5366

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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