# LAUREL LASER & SURGERY CENTER, L.P.

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

## Provider details

- **NPI number:** 1821093204
- **Authorized official:** WHITNEY N SUTLEY RN (CLINICAL DIRECTOR / ADMINISTRATOR)
- **Authorized official phone:** (814) 849-6561

## Contact information

- **Practice address:** 52 WATERFORD PIKE, BROOKVILLE, PA 15825-2518
- **Practice address phone:** (814) 849-0898
- **Practice address fax:** (814) 849-2890
- **Mailing address:** 52 WATERFORD PIKE, BROOKVILLE, PA 15825-2518
- **Mailing address phone:** (814) 849-0898
- **Mailing address fax:** (814) 849-2890

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 11351500 | PA | Yes |

## Other

- **Enumeration date:** 06/14/2005
- **Last updated:** 06/10/2024