MEDICARE: LASER AND COSMETIC SURGEONS PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2086S0122X	Plastic and Reconstructive Surgery Physician	MD034037E	PA

General Provider Information

NPI Number	:	1821009739
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LASER AND COSMETIC SURGEONS PC

Provider Business Mailing Address
First Line	:	1516 WYOMING AVE
Second Line	:
City	:	FORTY FORT
State	:	PA
Zip	:	18704-4225
Country	:	US
Telephone Number	:	570-288-1600
Fax Number	:	570-288-4080

Provider Business Practice Location Address
First Line	:	1516 WYOMING AVE
Second Line	:
City	:	FORTY FORT
State	:	PA
Zip	:	18704-4225
Country	:	US
Telephone Number	:	570-288-1600
Fax Number	:	570-288-4080

Authorized Official
Title or Position	:	OWNER
Name	:	GERALD J LEVANDOSKI
Credential	:	M.D.
Telephone Number	:	570-288-1600

Provider Enumeration Date	:	08/10/2006
Last Update Date	:	05/15/2008

Similar Medicare Providers

1932192382 — GERALD J LEVANDOSKI MD
Practice Location Address:

1516 WYOMING AVE
FORTY FORT, PA
18704-4225

Practice Phone: 570-288-1600
Practice Fax:

1972704419 — DR. ABBY RUSSIN REESE PH.D.
Practice Location Address:

1516 WYOMING AVE
FORTY FORT, PA
18704-4225

Practice Phone: 570-287-5200
Practice Fax: 570-609-1551

1699912691 — ABBY RUSSIN, PH.D., LLC
Practice Location Address:

1516 WYOMING AVE
FORTY FORT, PA
18704-4225

Practice Phone: 570-287-5200
Practice Fax: 570-609-1551

1366438855 — DR. STEPHEN E SMITH M.D.
Practice Location Address:

4225 EVANS AVE
FORT MYERS, FL
33901-9311

Practice Phone: 239-936-8655
Practice Fax: 239-936-8683

1659340917 — DR. PAUL R BROWN M.D.
Practice Location Address:

4225 EVANS AVE
FORT MYERS, FL
33901-9311

Practice Phone: 239-936-8655
Practice Fax: 239-936-8683

1760442677 — STEPHEN E SMITH MD PA
Practice Location Address:

4225 EVANS AVE
FORT MYERS, FL
33901-9311

Practice Phone: 239-936-7685
Practice Fax: 239-936-8683

Directions to “LASER AND COSMETIC SURGEONS PC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.