Individual
DR. LANCE T. BACON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
6900 N PECOS RD, NORTH LAS VEGAS, NV 89086-4400
(702) 791-9000
Mailing address
6900 N PECOS RD, NORTH LAS VEGAS, NV 89086-4400
(702) 791-9000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
2012013458
MO
207P00000X
Emergency Medicine Physician
Primary
DO1921
NV
Other
Enumeration date
06/04/2010
Last updated
08/02/2023
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