NPI 1710186994

Lase Med, INC.

Organisation Point of Service Broken Arrow, OK

Practice location

Address: 500 N Poplar Ave STE a, Broken Arrow, OK 74012-2337
Phone: (918) 398-9577
Fax: (918) 398-4488
Mailing address: 1894 US Highway 50 E STE 4 #160, Carson City, NV 89701-3244

Authorised official

Name: Antonella Carpenter
Title: Ceo
Phone: (702) 953-0267

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X Licence 3803 (OK)

Other Point of Service providers in Oklahoma →

Registry record

NPI: 1710186994
Entity type: Organization
NPI issued: 17 Jul 2007
Record last updated: 2 Dec 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.