Organization · Type 2 NPI
Medical Laser Center LLC
Rural Health Clinic/Center · Berea, KY
NPI number
1649401563
Active
Practice location
133 Plaza Dr, Suite 3
Berea, KY 40403-2087
Fax (859) 986-1374
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | None listed |
| Rural Health Clinic/Center Primary | 261QR1300X | None listed |
| Family Nurse Practitioner | 363LF0000X | None listed |
Rural Health Clinic/Center: Definition to come...
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About NPI 1649401563
Medical Laser Center LLC's National Provider Identifier is 1649401563, issued on Jul 28, 2009. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Berea, KY. The record was last updated on Aug 13, 2026.