Lln02 Llc | |
42 Megan Dr Henderson NV 89074-2774 | |
(405) 881-6822 | |
Not Available |
Full Name | Lln02 Llc |
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Speciality | Clinic/Center |
Location | 42 Megan Dr, Henderson, Nevada |
Authorized Official Name and Position | Lena Nguyen (OWNER) |
Authorized Official Contact | 4058816822 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Lln02 Llc 42 Megan Dr Henderson NV 89074-2774 Ph: (405) 881-6822 | Lln02 Llc 42 Megan Dr Henderson NV 89074-2774 Ph: (405) 881-6822 |
NPI Number | 1508573676 |
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Provider Enumeration Date | 10/28/2022 |
Last Update Date | 01/25/2023 |
Medicare PECOS PAC ID | 5395101604 |
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Medicare Enrollment ID | O20230511001682 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508573676 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Provider Name | Lena L Nguyen |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205470911 PECOS PAC ID: 6305269390 Enrollment ID: I20211005001591 |
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