| NPI | 1194986182 |
|---|---|
| Doing Business As | LIBERTY LASER EYE CENTER |
| Entity Type | Organization |
| Authorized Contact | NANCY A TANCHEL President, Medical Director 571-234-5678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0132X Clinic/Center, Ophthalmologic Surgery |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2023-09-18 |