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NPI Code Detail

MEDICARE: LVS GROUP CORP

MEDICARE: LVS GROUP CORP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RI0200XInfectious Disease PhysicianNV9820NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1LVS6843739OTHERNVCOMMERCIAL

General Provider Information

NPI Number : 1033574769
Entity Type Code : Organization
Provider Name (Legal Business Name) : LVS GROUP CORP
Provider Business Mailing Address
First Line : 3365 W CRAIG RD
Second Line : SUITE 10
City : N LAS VEGAS
State : NV
Zip : 89032-5112
Country : US
Telephone Number : 702-684-3739
Fax Number :
Provider Business Practice Location Address
First Line : 3365 W CRAIG RD
Second Line : SUITE 10
City : N LAS VEGAS
State : NV
Zip : 89032-5112
Country : US
Telephone Number : 702-684-3739
Fax Number :
Authorized Official
Title or Position : CEO
Name : DAMIAN DRAGO
Credential :
Telephone Number : 702-684-3739
Provider Enumeration Date : 12/23/2015
Last Update Date : 12/23/2015

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Directions to “LVS GROUP CORP ” Practice Location

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