Individual
SHANE K.K. LAZARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
6350 S DURANGO DR, LAS VEGAS, NV 89113-1774
(702) 790-8000
(833) 471-3189
Mailing address
6350 S DURANGO DR, LAS VEGAS, NV 89113-1774
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
832915
NV
Other
Enumeration date
08/14/2020
Last updated
08/23/2023
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