Organization
PROGRESSIVE LASER SURGICAL INSTITUTE LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COURTNEY RANCK (OFFICE MANAGER)
(570) 396-9999
Entity
Organization
Contact information
Practice address
1300 BROADCASTING RD, WYOMISSING, PA 19610-3220
(610) 396-9999
(610) 396-1488
Mailing address
1300 BROADCASTING RD, WYOMISSING, PA 19610-3220
(610) 396-9999
(610) 396-1488
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100144849
—
PA
Enumeration date
12/20/2005
Last updated
03/31/2022
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