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Individual

DR. LEONARDO ALDECOA GAN-LIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
653 N TOWN CENTER DR STE 101, LAS VEGAS, NV 89144-0515
(702) 805-2435
(702) 485-2812
Mailing address
2654 TOPAZ BLUE ST, LAS VEGAS, NV 89146-5490
(702) 461-2707

Taxonomy

Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
10945
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
V72607
MEDICARE
NV
Enumeration date
03/31/2006
Last updated
03/15/2023
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