| Tlc The Laser Center (northeast) Inc. | |
|
10790 Parkridge Blvd Ste. 105 Reston VA 20191-4369 | |
| (703) 860-2000 | |
| Not Available |
| Full Name | Tlc The Laser Center (northeast) Inc. |
|---|---|
| Speciality | Clinic/center |
| Location | 10790 Parkridge Blvd, Reston, Virginia |
| Authorized Official Name and Position | Brian L Andrew (SECRETARY) |
| Authorized Official Contact | 6365342300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tlc The Laser Center (northeast) Inc. 16305 Swingley Ridge Rd Ste. 300 Chesterfield MO 63017-1777 Ph: (636) 534-2300 | Tlc The Laser Center (northeast) Inc. 10790 Parkridge Blvd Ste. 105 Reston VA 20191-4369 Ph: (703) 860-2000 |
| NPI Number | 1033323886 |
|---|---|
| Provider Enumeration Date | 05/10/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033323886 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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