Laserwave Podiatry
Laserwave Podiatry provides Podiatrist services in Mystic, Connecticut. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
12 Roosevelt Ave Ste 203Mystic, CT 06355-2842
Phone: (401) 363-3150
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Podiatrist (primary) | Taxonomy 213E00000X |
|---|
Record details
| NPI number | 1285383877 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Michael Cicero — Owner And Medical Director · (401) 363-3150 |
| NPI enumerated | March 21, 2022 |
| Last updated in NPPES | March 8, 2023 |
| Certification date | March 8, 2023 |
| Mailing address | 12 Roosevelt Ave Ste 203, Mystic, CT 06355-2842 |