Individual
WALTER LESCANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2566 SHERWOOD ST APT 1, LAS VEGAS, NV 89109-1326
(702) 375-1660
Mailing address
2566 SHERWOOD ST APT 1, LAS VEGAS, NV 89109-1326
(702) 375-1660
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/15/2018
Last updated
06/15/2018
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