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Individual

LEORA LANZKOWSKY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
5495 S. RAINBOW BLVD, #101, LAS VEGAS, NV 89118
(702) 891-9729
(702) 898-0223
Mailing address
5495 S. RAINBOW BLVD, #101, LAS VEGAS, NV 89118
(702) 597-1145
(702) 968-9738

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G87599
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00G875990
BLUE SHIELD OF CA
CA
05
00G875990
CA
Enumeration date
05/11/2006
Last updated
10/21/2008
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