Organization
LASER TRIM CORP
Active
Other names
Trim Body Sculpting, Trim MD Weight Management
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY RYAN PUA MD (PHYSICIAN)
(630) 908-9509
Entity
Organization
Contact information
Practice address
6100 LAKE FORREST DR STE 125, ATLANTA, GA 30328-3882
(404) 937-6126
(404) 341-5463
Mailing address
2863 95TH ST STE 225, NAPERVILLE, IL 60564-9005
(630) 908-9509
(404) 341-5463
Taxonomy
Speciality
Code
Description
License number
State
207RB0002X
Obesity Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
06/16/2020
Last updated
01/26/2023
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