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Individual

ALVIN LOURENZ E UCAB

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APRN, NP-C

Contact information

Practice address
6355 S BUFFALO DR FL 3, LAS VEGAS, NV 89113-2133
(702) 479-4850
(702) 966-8699
Mailing address
6355 S BUFFALO DR FL 3, LAS VEGAS, NV 89113-2133
(702) 216-3346
(702) 671-6883

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN001942
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1194133959
NV
Enumeration date
07/24/2014
Last updated
10/26/2022
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