Organization
IMAJ SKIN & WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERRY M LEE NP (CEO)
(702) 782-8941
Entity
Organization
Contact information
Practice address
10161 PARK RUN DR STE 150, LAS VEGAS, NV 89145-8872
(408) 833-3158
Mailing address
10161 PARK RUN DR STE 150, LAS VEGAS, NV 89145-8872
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
02/25/2021
Last updated
08/19/2025
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