Individual
LIEN MATOS LEGRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6350 S DURANGODRIVE, LAS VEGAS, NV 89113
(702) 790-8000
(702) 437-0476
Mailing address
4436 EUREKA CIR, LAS VEGAS, NV 89103-3234
(702) 205-6964
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
836985
NV
Other
Enumeration date
01/06/2023
Last updated
02/28/2023
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