Organization
LAUREL EYE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA SHAW (ADMINISTRATOR)
(814) 849-8344
Entity
Organization
Contact information
Practice address
556 S ERIE ST, MERCER, PA 16137-3507
(724) 662-4313
(724) 662-0186
Mailing address
50 WATERFORD PIKE, BROOKVILLE, PA 15825-2518
(814) 849-8344
(814) 849-7130
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/05/2021
Last updated
04/05/2021
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