Individual
NANCY TE LAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4517 BLUE DIAMOND RD, LAS VEGAS, NV 89139-7620
(725) 258-2982
(877) 709-4341
Mailing address
6101 BLUE LAGOON DR STE 200, MIAMI, FL 33126-3168
(725) 258-2982
(877) 709-4341
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
8774
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100506805
—
NV
05
—
100506806
—
NV
05
—
1174596431
—
NV
01
—
8774
STATE LICENSE
NV
Enumeration date
02/08/2006
Last updated
02/13/2026
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