Individual
MRS. DOLORES LEBRON-GALLAGHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
888 S RANCHO DR, LAS VEGAS, NV 89106
(702) 877-5199
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(702) 877-5199
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
5601004012
MI
363A00000X
Physician Assistant
Primary
PA2125
NV
Other
Enumeration date
06/18/2006
Last updated
06/27/2019
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