Organization
SERGEY LYASS MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SERGEY LYASS M.D. (PRESIDENT)
(310) 623-1786
Entity
Organization
Contact information
Practice address
3560 E FLAMINGO RD, # 105, LAS VEGAS, NV 89121-0201
(702) 454-8712
(702) 434-5865
Mailing address
4301 GRIMES PL, ENCINO, CA 91316-4361
(818) 578-3388
(310) 693-2603
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
14103
NV
Other
Enumeration date
10/23/2011
Last updated
10/23/2011
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