Individual
DR. LOURDES RUCELA PASCUA ADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6355 S BUFFALO DR FL 3, LAS VEGAS, NV 89113-2133
(702) 216-3346
(702) 671-6883
Mailing address
6355 S BUFFALO DR FL 3, LAS VEGAS, NV 89113-2133
(702) 216-3346
(702) 671-6883
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
230659
MA
207Q00000X
Family Medicine Physician
23102
AL
207Q00000X
Family Medicine Physician
Primary
23348
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110077956A
—
MA
05
—
1114957032
—
NV
01
—
23348
STATE LICENSE
NV
Enumeration date
07/04/2006
Last updated
02/06/2023
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