| NPI | 1750609871 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI ANN LABRECQUE Accounts Mgr 702-453-3799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NV 13464) |
| Enumeration Date | 2010-05-13 |
| Last Update Date | 2010-05-13 |