Organization
MICHELE ALISA DILAURO MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELE ALISA DILAURO MD (OWNER)
(702) 370-2172
Entity
Organization
Contact information
Practice address
10050 BANBURRY CROSS DR, 130, LAS VEGAS, NV 89144-7056
(702) 370-2172
(702) 946-0866
Mailing address
10050 BANBURRY CROSS DR, 130, LAS VEGAS, NV 89144-7056
(702) 370-2172
(702) 946-0866
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
05/21/2009
Last updated
05/21/2009
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