Dr NICOLE A BALLENTINE is a female medical professional, specializing in Physician Assistant. She graduated in 2011.
LA LASER CENTER PC A PROFESSIONAL MEDICAL CORPORATION
1840 MESQUITE AVE
LAKE HAVASU CITY
AZ
864035771
Tel: 9287198400
| Npi | 1285920991 |
| Pac Id | 7810262649 |
| Professional Enrollment Id | I20171004003038 |
| Last Name | BALLENTINE |
| First Name | NICOLE |
| Middle Name | A |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2011 |
| Primary Specialty | PHYSICIAN ASSISTANT |
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| Organization Legal Name | LA LASER CENTER PC A PROFESSIONAL MEDICAL CORPORATION |
| Group Practice Pac Id | 9537181185 |
| Number Of Group Practice Members | 21 |
| Line 1 Street Address | 1840 MESQUITE AVE |
| Line 2 Street Address | |
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| City | LAKE HAVASU CITY |
| State | AZ |
| Zip Code | 864035771 |
| Phone Number | 9287198400 |
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| Professional Accepts Medicare Assignment | Y |
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