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Organization
MILLENNIUM HOSPITALIST COMPANY OF BOULDER CITY
Active
Organization
MILLENNIUM HOSPITALIST COMPANY OF BOULDER CITY
Active
Other names
MHC of Boulder City
Organization subpart
No
Provider details
NPI number
Authorized official
LORI LABRECQUE (ACCOUNTS MGR)
(702) 453-3799
Entity
Organization
Contact information
Practice address
901 ADAMS BLVD, BOULDER CITY, NV 89005-2213
(702) 453-3799
(702) 453-5741
Mailing address
3375 S RAINBOW BLVD, UNIT 80751, LAS VEGAS, NV 89180-8801
(702) 453-3799
(702) 453-5741
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
13058
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13058
NV LIC
NV
01
—
53666-20
WI LIC
WI
Enumeration date
04/19/2012
Last updated
07/30/2015
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