Organization · Type 2 NPI
Lase Med, Inc.
Point of Service · Broken Arrow, OK
NPI number
1710186994
Active
Practice location
500 N Poplar Ave, Ste A
Broken Arrow, OK 74012-2337
Fax (918) 398-4488
Mailing address
1894 US Highway 50 E, Ste 4 #160
Carson City, NV 89701-3244
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Point of Service Primary | 305S00000X | 3803 (OK) |
Point of Service: 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.
Another provider at this address
About NPI 1710186994
Lase Med, Inc.'s National Provider Identifier is 1710186994, issued on Jul 17, 2007. The primary taxonomy on file is Point of Service (305S00000X), and the practice location is in Broken Arrow, OK. The record was last updated on Dec 2, 2009.