| Advanced Laser Cosmetics | |
|
120 Waukazoo Dr Holland MI 49424-2556 | |
| (616) 399-9680 | |
| Not Available |
| Full Name | Advanced Laser Cosmetics |
|---|---|
| Speciality | Family Medicine |
| Location | 120 Waukazoo Dr, Holland, Michigan |
| Authorized Official Name and Position | Lowell Lamar Styer (OWNER) |
| Authorized Official Contact | 6163999680 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Laser Cosmetics Po Box 8155 Holland MI 49422-8155 Ph: () - | Advanced Laser Cosmetics 120 Waukazoo Dr Holland MI 49424-2556 Ph: (616) 399-9680 |
| NPI Number | 1295791630 |
|---|---|
| Provider Enumeration Date | 04/25/2006 |
| Last Update Date | 11/23/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295791630 | NPI | - | NPPES |
| 4796877 | Medicaid | MI | |
| 0807015771 | Other | MI | DR. STYER'S BCBS NUMBER |
| 1749990 | Medicaid | MI | |
| 5008755300 | Other | MI | AMY ROBBINS' BCBS NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4301048380 (Michigan) | Primary |
| 363L00000X | Nurse Practitioner | 4704185046 (Michigan) | Secondary |
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