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Organization

JASWANT SINGH PANNU MD PA

Active
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Organization

JASWANT SINGH PANNU MD PA

Active
Other names
pannu laser institute
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. DEBRA PANNU (ADMINISTRATOR)
(954) 484-0700
Entity
Organization

Contact information

Practice address
4300 W OAKLAND PARK BLVD, LAUDERDALE LAKES, FL 33313-1918
(954) 484-0700
(954) 484-0705
Mailing address
4300 W OAKLAND PARK BLVD, LAUDERDALE LAKES, FL 33313-1918
(954) 484-0700
(954) 484-0705

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—

Other

Enumeration date
10/20/2006
Last updated
11/09/2007
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