Organization
LASR CLINIC OF SUMMERLIN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ISRAEL VILLASENOR (PRACTICE MANAGER)
(702) 568-8450
Entity
Organization
Contact information
Practice address
7151 CASCADE VALLEY CT, SUITE 200, LAS VEGAS, NV 89128-0496
(702) 568-8450
(702) 568-8451
Mailing address
7151 CASCADE VALLEY CT, SUITE 200, LAS VEGAS, NV 89128-0496
(702) 568-8450
(702) 568-8451
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
03/28/2016
Last updated
02/28/2017
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