Individual
LARS S HAVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2385 CROCODILE AVE, HENDERSON, NV 89052-2385
(602) 391-9419
Mailing address
2385 CROCODILE AVE, HENDERSON, NV 89052-2385
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
89332
NV
Other
Enumeration date
10/14/2025
Last updated
10/14/2025
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