# THE CENTER FOR LASER AND AESTHETIC MEDICINE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083000145
- **Authorized official:** DOUHA SABOUNI MD (PARTNER/ PRESIDENT)
- **Authorized official phone:** (540) 819-1878

## Contact information

- **Practice address:** 3735 NAZARETH RD STE 201, EASTON, PA 18045-8346
- **Practice address phone:** (610) 438-2990
- **Practice address fax:** (610) 438-2986
- **Mailing address:** PO BOX 1360, EASTON, PA 18044-1360
- **Mailing address phone:** (610) 438-2990
- **Mailing address fax:** (610) 438-2986

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207N00000X | Dermatology Physician | — | PA | — |
| 207RA0401X | Addiction Medicine (Internal Medicine) Physician | — | PA | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | PA | — |
| 2084P0015X | Psychosomatic Medicine Physician | — | PA | — |

## Other

- **Enumeration date:** 04/15/2015
- **Last updated:** 04/15/2015