Organization
LAKES DERMATOLOGY SKIN CANCER & LASER CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ALLISON ROSE RUECKL (BILLING MANAGER)
(702) 869-6667
Entity
Organization
Contact information
Practice address
8937 W SAHARA AVE, STE B, LAS VEGAS, NV 89117
(702) 869-6667
(702) 869-2627
Mailing address
8937 W SAHARA AVE, STE B, LAS VEGAS, NV 89117
(702) 869-6667
(702) 869-2627
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
12/06/2006
Last updated
11/06/2007
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