Organization
LASER TRIM CORP
Active
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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