| NPI | 1437965191 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NORAH LUSK Owner 775-340-1088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| 261QP2300X Clinic/Center, Primary Care | |
| 261QR1300X Clinic/Center, Rural Health | |
| Enumeration Date | 2024-12-07 |
| Last Update Date | 2024-12-07 |