Organization
MEDICAL LASER CENTER LLC
Active
Other names
Rural Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NAWAR SODA MD (OWNER)
(859) 986-1370
Entity
Organization
Contact information
Practice address
133 PLAZA DR, SUITE 3, BEREA, KY 40403-2087
(859) 986-1370
(859) 986-1374
Mailing address
133 PLAZA DR, SUITE 3, BEREA, KY 40403-2087
(859) 986-1370
(859) 986-1374
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
07/28/2009
Last updated
11/24/2025
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