Organization · Type 2 NPI

Great Lakes Laser Services, LP

Lithotripsy Clinic/Center · West Lake Hills, TX

NPI number 1184706541 Active

Practice location

1301 S Capital Of Texas Hwy, Suite B200
West Lake Hills, TX 78746-6574

Mailing address

PO Box 847324
Dallas, TX 75284-7324

Specialties and licenses

TaxonomyCodeLicense
Lithotripsy Clinic/Center Primary 261QL0400XNone listed

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About NPI 1184706541

Great Lakes Laser Services, LP's National Provider Identifier is 1184706541, issued on Oct 19, 2006. The primary taxonomy on file is Lithotripsy Clinic/Center (261QL0400X), and the practice location is in West Lake Hills, TX. The record was last updated on Aug 22, 2020.