Organization
LYDIA B ESTANISLAO PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYDIA B ESTANISLAO MD (MEMBER)
(702) 985-0118
Entity
Organization
Contact information
Practice address
4206 W CHARLESTON BLVD, LAS VEGAS, NV 89102-1625
(702) 985-0118
Mailing address
4206 W CHARLESTON BLVD, LAS VEGAS, NV 89102-1625
(702) 985-0118
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
NV
Other
Enumeration date
07/13/2015
Last updated
07/13/2015
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