Lyass Pc A Professional Medical Corp | |
5950 S. Durgango Dr Suite 100 Las Vegas CA 89113 | |
(702) 487-6000 | |
Not Available |
Full Name | Lyass Pc A Professional Medical Corp |
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Speciality | Clinic/center |
Location | 5950 S. Durgango Dr, Las Vegas, California |
Authorized Official Name and Position | Sergey Lyass (MEDICAL DIRECTOR) |
Authorized Official Contact | 7024876000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lyass Pc A Professional Medical Corp 5950 S. Durgango Dr Suite 100 Las Vegas CA 89113 Ph: (702) 487-6000 | Lyass Pc A Professional Medical Corp 5950 S. Durgango Dr Suite 100 Las Vegas CA 89113 Ph: (702) 487-6000 |
NPI Number | 1831742758 |
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Provider Enumeration Date | 07/19/2019 |
Last Update Date | 07/19/2019 |
Identifier | Type | State | Issuer |
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1831742758 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |