Healthcare Provider Details

I. General information

NPI: 1629852744
Provider Name (Legal Business Name): LS MEDICAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2023
Last Update Date: 08/21/2023
Certification Date: 08/21/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3129 ALTERNATE 19
DUNEDIN FL
34698-1503
US

IV. Provider business mailing address

3129 ALTERNATE 19
DUNEDIN FL
34698-1503
US

V. Phone/Fax

Practice location:
  • Phone: 727-400-4768
  • Fax: 727-265-3420
Mailing address:
  • Phone: 727-400-4768
  • Fax: 727-265-3420

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2082S0105X
TaxonomySurgery of the Hand (Plastic Surgery) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. EREL LAUFER
Title or Position: PRESIDENT
Credential: M.D.
Phone: 727-400-4768