Organization
LYASS PC A PROFESSIONAL MEDICAL CORP
Active
Other names
N/V MULTISPECIALTY GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SERGEY LYASS MD (MEDICAL DIRECTOR)
(702) 487-6000
Entity
Organization
Contact information
Practice address
5950 S. DURGANGO DR, SUITE 100, LAS VEGAS, CA 89113
(702) 487-6000
Mailing address
5950 S. DURGANGO DR, SUITE 100, LAS VEGAS, CA 89113
(702) 487-6000
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
07/19/2019
Last updated
07/19/2019
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