Individual
LYNDAL MASON FERRERIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
7195 ADVANCED WAY, LAS VEGAS, NV 89113-3691
(702) 740-5327
(702) 740-5328
Mailing address
7195 ADVANCED WAY, LAS VEGAS, NV 89113-3691
(702) 740-5327
(702) 740-5328
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2238
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA0483
NV STATE BOARD OF OSTEOPATHIC MEDICINE
NV
01
—
PA2238
NSBME
NV
Enumeration date
02/05/2020
Last updated
11/11/2020
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