Organization
RESTORIX
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN LACY NP (PRESIDENT)
(210) 724-8656
Entity
Organization
Contact information
Practice address
8905 W POST RD STE 110, LAS VEGAS, NV 89148-2429
(702) 523-6615
Mailing address
8905 W POST RD STE 110, LAS VEGAS, NV 89148-2429
(702) 523-6615
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
—
—
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/27/2025
Last updated
05/12/2025
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