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1184326506
ELISABETH LAUREN HERZOG
LAS VEGAS, NV
NPI
1184326506
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-03-20
Last Update Date
2023-03-20
Business Address
ELISABETH LAUREN HERZOG MD
3100 N TENAYA WAY
LAS VEGAS, NV 89128-0436
Phone number: 702-962-5000
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Mailing Address
ELISABETH LAUREN HERZOG MD
753 VEGAS VALLEY DR
LAS VEGAS, NV 89109-1528
Phone number: 775-217-6047
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