Individual
MR. SAMUEL HOUSTON LANE V
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9785 S MARYLAND PKWY STE 2, LAS VEGAS, NV 89183-7124
(702) 474-0077
Mailing address
9756 HOMESTEAD MESA ST, LAS VEGAS, NV 89141-8954
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
888784
NV
Other
Enumeration date
03/25/2025
Last updated
11/19/2025
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