# LSDCCN OF NEVADA LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346514502
- **Authorized official:** ZAFRIR DIAMANT (MEMBER)
- **Authorized official phone:** (702) 203-1715

## Contact information

- **Practice address:** 9324 SIENNA RIDGE DR, LAS VEGAS, NV 89117-7013
- **Practice address phone:** (702) 203-1715
- **Mailing address:** 9324 SIENNA RIDGE DR, LAS VEGAS, NV 89117-7013
- **Mailing address phone:** (702) 203-1715

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251F00000X | Home Infusion Agency | — | NULL | — |
| 261QI0500X | Infusion Therapy Clinic/Center | — | NULL | — |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/05/2012
- **Last updated:** 05/03/2017