# LAS VEGAS ALLERGY AND WELLNESS LLC

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

## Provider details

- **NPI number:** 1558147298
- **Authorized official:** NOLAN ROGGE (CEO)
- **Authorized official phone:** (425) 308-0119

## Contact information

- **Practice address:** 2637 W HORIZON RIDGE PKWY STE 110, HENDERSON, NV 89052-4835
- **Practice address phone:** (725) 277-0509
- **Practice address fax:** (855) 213-5199
- **Mailing address:** 2637 W HORIZON RIDGE PKWY STE 110, HENDERSON, NV 89052-4835
- **Mailing address phone:** (725) 277-0509
- **Mailing address fax:** (855) 213-5199

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207K00000X | Allergy & Immunology Physician | — | NULL | Yes |
| 207K00000X | Allergy & Immunology Physician | — | — | Yes |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 09/07/2023
- **Last updated:** 01/08/2024