Sentinel Laser Center, P.a.

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

21358 Issued in MN

Legal business name

SENTINEL LASER CENTER, P.A.

Practice address

514 Saint Peter St
Saint Paul, MN 55102-1001

Phone

(651) 287-8781

Fax

(651) 287-8782

NPI assigned

Oct 7, 2011

Last updated

Oct 7, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Stacy Lee Davison

Title

Accounts Manager

Phone

(651) 287-8781

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1317945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317945600000",
    "number": "1407130453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 SAINT PETER ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551021001",
            "telephone_number": "651-287-8781",
            "fax_number": "651-287-8782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 SAINT PETER ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551021001",
            "telephone_number": "651-287-8781",
            "fax_number": "651-287-8782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENTINEL LASER CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-07",
        "last_updated": "2011-10-07",
        "status": "A",
        "authorized_official_last_name": "DAVISON",
        "authorized_official_first_name": "STACY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "ACCOUNTS MANAGER",
        "authorized_official_telephone_number": "651-287-8781"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "MN",
            "license": "21358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Senzilla Transportation, Inc.
• Molly M Sepiol, DNP, FNP-C
• Serene Behavioral Center

• Neurological Surgery Physician in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Neurological Surgery Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.