# TAEL LASER CENTER, LLC

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

## Provider details

- **NPI number:** 1356724801
- **Authorized official:** DR. GARRISON V MORIN M.D. (CEO)
- **Authorized official phone:** (540) 313-8976

## Contact information

- **Practice address:** 158 FRONT ROYAL PIKE, SUITE 108, WINCHESTER, VA 22602-4346
- **Practice address phone:** (540) 313-8976
- **Mailing address:** 158 FRONT ROYAL PIKE, SUITE 108, WINCHESTER, VA 22602-4346
- **Mailing address phone:** (540) 313-8976

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 0101237343 | VA | Yes |

## Other

- **Enumeration date:** 07/01/2015
- **Last updated:** 07/16/2015
