| NPI | 1770635153 |
|---|---|
| Former Legal Business Name | LAKE MEAD CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | VISHWESHWAR RANGA President 702-649-8009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NV 9296) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2018-05-24 |