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Individual

DR. JASON LAO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
6355 S BUFFALO DR FL 3, LAS VEGAS, NV 89113-2133
(702) 216-3346
(702) 671-6883
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
207Q00000X
Family Medicine Physician
Primary
DO2802
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1437682333
NV
01
DO2802
STATE LICENSE
NV
Enumeration date
04/06/2017
Last updated
08/21/2023
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