# PRESTIGE LASER AND CATARACT INSTITUTE LLC

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

## Provider details

- **NPI number:** 1518680347
- **Authorized official:** TAMMY LYNN MUSGROVE (ADMINISTRATOR)
- **Authorized official phone:** (702) 561-7851

## Contact information

- **Practice address:** 710 EASTERN ST STE H, KINGMAN, AZ 86401-5486
- **Practice address phone:** (702) 561-7851
- **Mailing address:** 710 EASTERN ST STE H, KINGMAN, AZ 86401-5486
- **Mailing address phone:** (702) 561-7851

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/26/2022
- **Last updated:** 03/08/2024