Organization
MILLENNIUM HOSPITALIST COMPANY OF BOULDER CITY
Active
Other names
MHC of Boulder City
Organization subpart
No
Provider details
NPI number
Authorized official
LORI LABRECQUE (ACCOUNTS MGR)
(702) 453-3799
Entity
Organization
Contact information
Practice address
901 ADAMS BLVD, BOULDER CITY, NV 89005-2213
(702) 453-3799
(702) 453-5741
Mailing address
3375 S RAINBOW BLVD, UNIT 80751, LAS VEGAS, NV 89180-8801
(702) 453-3799
(702) 453-5741
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
13058
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13058
NV LIC
NV
01
—
53666-20
WI LIC
WI
Enumeration date
04/19/2012
Last updated
07/30/2015
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