Organization
MEDICAL LASER CENTER LLC
Active
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
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
07/28/2009
Last updated
08/13/2026
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