Organization
CLEVER ALLIANCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARMEN LAZO (MEMBER)
(702) 727-9065
Entity
Organization
Contact information
Practice address
916 W OWENS AVE, LAS VEGAS, NV 89106-2516
(702) 625-1492
Mailing address
4616 W SAHARA AVE STE 481, LAS VEGAS, NV 89102-3654
(702) 625-1492
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
261QC1500X
Community Health Clinic/Center
—
—
Other
Enumeration date
08/22/2020
Last updated
08/22/2020
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