Individual
LEO TAKASHI YAMAGUCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3601 4TH ST # MS 9410, LUBBOCK, TX 79430-9000
(806) 743-6916
Mailing address
3100 N. TENAYA WAY, GRADUATE MEDICAL EDUCATION, LAS VEGAS, NV 89128-0431
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
A17721
CA
207RN0300X
Nephrology Physician
Primary
V2340
TX
Other
Enumeration date
03/22/2019
Last updated
10/15/2024
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