Individual
LILIAN DIAZ LAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7435 S EASTERN AVE STE 104, LAS VEGAS, NV 89123-1508
(702) 405-2381
Mailing address
4088 E BOSTON AVE, LAS VEGAS, NV 89104-5242
(702) 272-3790
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
122300000X
Dentist
Primary
7984
NV
Other
Enumeration date
07/31/2019
Last updated
01/14/2026
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