Individual
LENNY RAY WILKERSON I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2001 S JONES BLVD, LAS VEGAS, NV 89146-3182
(702) 545-0477
Mailing address
6336 GREYHAWK AVE, LAS VEGAS, NV 89108-1729
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
02/16/2018
Last updated
09/11/2025
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