Organization Name: | LASER AND COSMETIC SURGEONS PC |
NPI Number: | 1821009739 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GERALD J LEVANDOSKI (OWNER) |
Mailing Address: | 1516 Wyoming Ave Forty Fort |
State: | PA US |
Postal Code: | 187044225 |
Phone Number: | 5702881600 |
Fax Number: | 5702884080 |
NPI Enumeration Date: | 08/10/2006 |
NPI Last Update Date: | 05/15/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2086S0122X |
License Number: | MD034037E |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Surgery |
Taxonomy Specialization: | Plastic and Reconstructive Surgery |
Taxonomy Definition: | A surgeon who specializes in plastic and reconstructive surgery. |