Organization
COASTAL EYE SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE PIAZZA MD (MEDICAL DIRECTOR)
(207) 667-6300
Entity
Organization
Contact information
Practice address
128 BUCKSPORT RD, SUITE A, ELLSWORTH, ME 04605-2239
(207) 667-7730
(207) 667-9523
Mailing address
PO BOX 1539, BLUE HILL, ME 04614-1539
(207) 667-6300
Taxonomy
Speciality
Code
Description
License number
State
261QS0132X
Ophthalmologic Surgery Clinic/Center
Primary
—
—
Other
Enumeration date
02/07/2008
Last updated
11/18/2010
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