Individual
LYNNE BARBARA ULEVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9310 S EASTERN AVE STE 122, LAS VEGAS, NV 89123-6844
(702) 489-3300
Mailing address
4127 VILLA RAFAEL DR, LAS VEGAS, NV 89141-6075
(702) 845-4392
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA834
NV
363A00000X
Physician Assistant
PA9102798
FL
Other
Enumeration date
04/16/2018
Last updated
05/04/2018
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