Lase Med, Inc.
NPI #1710186994 in Broken Arrow, Oklahoma
Provider Information
- NPI Number
- 1710186994
- Entity Type
- Organization
- Organization Name
- Lase Med, Inc.
- Primary Specialty
- Point of Service
- Enumeration Date
- Jul 17, 2007
- Last Updated
- Dec 2, 2009
Practice Location
- Address
- 500 N POPLAR AVE
- Address 2
- STE A
- City
- Broken Arrow
- State
- Oklahoma
- ZIP Code
- 74012-2337
- Phone
- (918) 398-9577
Authorized Official
- Name
- DR. ANTONELLA CARPENTER, PHD
- Title
- CEO
- Phone
- (702) 953-0267
Specialties & Taxonomy Codes
| Specialty |
|---|
| Point of Service |
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