| NPI | 1972875367 |
|---|---|
| Other Name | RUSSELL S GORNICHEC MD PA |
| Doing Business As | LASER SOLUTIONS MEDICAL SPA AND WEIGHT LOSS |
| Entity Type | Organization |
| Authorized Contact | KIM GORNICHEC Clinic Administrator 501-781-0772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: AR e7873) |
| Enumeration Date | 2012-02-01 |
| Last Update Date | 2019-02-19 |