| NPI | 1295791630 |
|---|---|
| Other Name | ADVANCED LASER COSMETICS |
| Entity Type | Organization |
| Authorized Contact | LOWELL LAMAR STYER Owner 616-399-9680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301048380) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704185046) |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2007-11-23 |