Organization
F. VICTOR RUECKL DERMATOLOGY, PLLC
Active
Other names
Lakes Dermatology
Organization subpart
No
Provider details
NPI number
Authorized official
KATIE RUECKL (OFFICE MANAGER)
(702) 869-6667
Entity
Organization
Contact information
Practice address
8861 W SAHARA AVE STE 290, LAS VEGAS, NV 89117-4808
(702) 869-6667
Mailing address
8861 W SAHARA AVE STE 290, LAS VEGAS, NV 89117-4808
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
—
—
Other
Enumeration date
08/26/2014
Last updated
10/16/2020
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