MEDICAL LASER SERVICES LLC NPI 1669589669

NPI Information

MEDICAL LASER SERVICES, LLC is a specialist in Portland, ME. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MEDICAL LASER SERVICES, LLC NPI is 1669589669. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1375 CONGRESS ST
PORTLAND, ME
ZIP 04102-118
Phone: (207) 761-0177

The provider's authorized official is Becky Hagar .
The authorized official title is Practdice Manger and has the following contact phone number (207) 761-0177.

The CLIA number assigned to this NPI record is 20D2208190 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/24/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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