LASR CLINIC OF HENDERSON NPI 1760837322

NPI Information

LASR CLINIC OF HENDERSON is a general practice in Henderson, NV. LASR CLINIC OF HENDERSON NPI is 1760837322. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

200 E HORIZON DR
SUITE A
HENDERSON, NV
ZIP 89015-033
Phone: (702) 568-8450
Fax: (702) 568-8451

The provider's authorized official is Israel Villasenor .
The authorized official title is Practice Manager and has the following contact phone number (702) 568-8450.

The enumeration date for this NPI number is 5/2/2016 and was last updated on 2/28/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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