LASE MED INC. NPI 1710186994

NPI Information

LASE MED, INC. is a point of service in Broken Arrow, OK. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. LASE MED, INC. NPI is 1710186994. The provider is registered as an organization entity type.

The provider's business location address is:

500 N POPLAR AVE
STE A
BROKEN ARROW, OK
ZIP 74012-337
Phone: (918) 398-9577
Fax: (918) 398-4488

The provider's authorized official is Antonella Carpenter .
The authorized official title is Ceo and has the following contact phone number (702) 953-0267.

The enumeration date for this NPI number is 7/17/2007 and was last updated on 12/2/2009.

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:

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