Individual
SANDRA LIPOVACA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1905 CIVIC CENTER DR, NORTH LAS VEGAS, NV 89030-7143
(702) 877-9514
(702) 312-3510
Mailing address
5701 W CHARLESTON BLVD, SUITE 100, LAS VEGAS, NV 89146-1217
(702) 877-9514
(702) 312-3510
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
13353
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13353
LICENSE
NV
Enumeration date
12/04/2009
Last updated
10/29/2020
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