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Organization
AESTHETIC EYE ASSOCIATES, PS
Active
Organization
AESTHETIC EYE ASSOCIATES, PS
Active
Other names
Allure Laser Center & Medispa
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN J LAUKAITIS MD (MEDICAL DIRECTOR/CEO)
(425) 216-7200
Entity
Organization
Contact information
Practice address
625 4TH AVE, SUITE 301, KIRKLAND, WA 98033-9028
(425) 216-7200
(425) 216-7272
Mailing address
625 4TH AVE, SUITE 301, KIRKLAND, WA 98033-9028
(425) 216-7200
(425) 216-7272
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
—
NULL
207W00000X
Ophthalmology Physician
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
ASF.FS.60099157
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7121049
—
WA
01
—
GAB36305
PTAN
WA
Enumeration date
07/12/2006
Last updated
11/19/2015
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