Organization
REGEN INTEGRATED LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LLOYD L DECKER (PRESIDENT)
(970) 880-0064
Entity
Organization
Contact information
Practice address
730 SANDHILL RD STE 120, RENO, NV 89521-8962
(970) 880-0064
Mailing address
730 SANDHILL RD STE 120, RENO, NV 89521-8962
(970) 880-0064
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
12/05/2019
Last updated
12/05/2019
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