Individual
MR. WILBUR LASANE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPT
Contact information
Practice address
1931 GIANT PINE AVE, NORTH LAS VEGAS, NV 89031-5071
(725) 200-0821
(702) 710-9972
Mailing address
1931 GIANT PINE AVE, NORTH LAS VEGAS, NV 89031-5071
(725) 200-0821
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
1241242665
NV
Other
Enumeration date
09/12/2024
Last updated
09/12/2024
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