# SKIN CANCER AND LASER SURGERY CENTER LLC

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

## Provider details

- **NPI number:** 1578221479
- **Authorized official:** SARA B BURDEN (OFFICE MANAGER)
- **Authorized official phone:** (270) 685-5777

## Contact information

- **Practice address:** 10788 STAHL ROAD, NEWBURGH, IN 47630-7958
- **Practice address phone:** (270) 685-5777
- **Practice address fax:** (270) 685-0190
- **Mailing address:** 10788 STAHL ROAD, NEWBURGH, IN 47630-7958
- **Mailing address phone:** (270) 685-5777
- **Mailing address fax:** (270) 685-0190

## Taxonomy

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

## Other

- **Enumeration date:** 12/08/2021
- **Last updated:** 12/08/2021