| Merc Associates Llc | |
|
5840 W Craig Rd Suite 120-169 Las Vegas NV 89130-2561 | |
| (702) 800-7258 | |
| (702) 645-6218 |
| Full Name | Merc Associates Llc |
|---|---|
| Speciality | Psychologist |
| Location | 5840 W Craig Rd, Las Vegas, Nevada |
| Authorized Official Name and Position | Mary Lisa Lamb (MEMBER) |
| Authorized Official Contact | 7028007258 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Merc Associates Llc 5420 W Sahara Ave Suite 201 Las Vegas NV 89146-0394 Ph: (702) 800-7258 | Merc Associates Llc 5840 W Craig Rd Suite 120-169 Las Vegas NV 89130-2561 Ph: (702) 800-7258 |
| NPI Number | 1124410170 |
|---|---|
| Provider Enumeration Date | 02/28/2015 |
| Last Update Date | 02/28/2015 |
| Medicare PECOS PAC ID | 7618295551 |
|---|---|
| Medicare Enrollment ID | O20150406001143 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124410170 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PY0741 (Nevada) | Primary |
| Provider Name | Mary L Lamb |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366728776 PECOS PAC ID: 0244558187 Enrollment ID: I20150406001434 |
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