Individual
LACEY STORR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4270 S DECATUR BLVD STE B6, LAS VEGAS, NV 89103-6802
(702) 485-2100
Mailing address
4270 S DECATUR BLVD STE B6, LAS VEGAS, NV 89103-6802
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN002896
NV
Other
Enumeration date
05/17/2018
Last updated
05/17/2018
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