Great Lakes Laser Services, LP
NPI #1184706541 in West Lake Hills, Texas
Provider Information
- NPI Number
- 1184706541
- Entity Type
- Organization
- Organization Name
- Great Lakes Laser Services, LP
- Primary Specialty
- Clinic/Center - Lithotripsy
- Enumeration Date
- Oct 19, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1301 S CAPITAL OF TEXAS HWY
- Address 2
- SUITE B200
- City
- West Lake Hills
- State
- Texas
- ZIP Code
- 78746-6574
- Phone
- (512) 314-4331
Authorized Official
- Name
- THERESA DAVIS
- Title
- DIRECTOR, CBO
- Phone
- (512) 314-4331
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Lithotripsy — Lithotripsy |
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