Individual
LUIS ENRIQUE SOCORRO LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2911 N TENAYA WAY STE 100, LAS VEGAS, NV 89128-0488
(702) 990-7660
Mailing address
9792 PIONEER AVE, LAS VEGAS, NV 89117-8411
(702) 241-8395
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
854668
NV
Other
Enumeration date
12/10/2024
Last updated
12/10/2024
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