Individual
LEE LINCICOME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.H.
Contact information
Practice address
2100 S MARYLAND PKWY, SUITE 5, LAS VEGAS, NV 89104-3230
(702) 575-0866
Mailing address
2100 S MARYLAND PKWY, SUITE 5, LAS VEGAS, NV 89104-3230
(702) 575-0866
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
3293
NV
Other
Enumeration date
07/08/2016
Last updated
07/08/2016
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