Organization
LANCE D MAYOR, MD LTD
Active
Other names
Lance D Mayor MD
Organization subpart
No
Provider details
NPI number
Authorized official
LANCE D MAYOR MD (OWNER)
(702) 369-0004
Entity
Organization
Contact information
Practice address
2121 E FLAMINGO RD, 202, LAS VEGAS, NV 89119-5122
(702) 369-0004
(702) 369-6488
Mailing address
2121 E FLAMINGO RD, 202, LAS VEGAS, NV 89119-5122
(702) 369-0004
(702) 369-6488
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
3943
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20-02341
—
NV
Enumeration date
12/14/2010
Last updated
12/14/2010
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