Individual
LEINI-LUCK PENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3186 S MARYLAND PKWY, LAS VEGAS, NV 89109
(702) 731-8099
(702) 731-8292
Mailing address
3196 S MARYLAND PKWY, STE 101, LAS VEGAS, NV 89109
(702) 731-8099
(702) 731-8292
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
10387
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002018818
—
NV
05
—
784448
—
AZ
Enumeration date
03/17/2006
Last updated
10/28/2014
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