Individual
LORENZO OMANDAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
8402 CENTENNIAL PKWY STE 100, LAS VEGAS, NV 89149-4793
(702) 869-3486
(702) 869-3542
Mailing address
2800 E DESERT INN RD STE 100, LAS VEGAS, NV 89121-3609
(702) 731-1616
(702) 734-4900
Taxonomy
Speciality
Code
Description
License number
State
163WP0000X
Pain Management Registered Nurse
RN66219
NV
363LF0000X
Family Nurse Practitioner
Primary
APRN002579
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APRN002579
NV LICENSE
NV
01
—
RN66219
NV LICENSE
NV
Enumeration date
07/26/2017
Last updated
06/17/2020
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