Organization
SUNRISE HEALTH CLINICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BESCHELLE JUANMIA LOCKHART (OWNER)
(702) 209-0370
Entity
Organization
Contact information
Practice address
6767 W TROPICANA AVE STE 100, LAS VEGAS, NV 89103-4755
(702) 209-0370
(702) 463-1851
Mailing address
6767 W TROPICANA AVE STE 100, LAS VEGAS, NV 89103-4755
(702) 209-0370
(702) 463-1851
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
—
—
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NV20141642973
STATE LICENSE
NV
Enumeration date
10/02/2013
Last updated
03/07/2024
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