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NPI Code Detail

MEDICARE: LOIS YEJIN SUH

MEDICARE: LOIS YEJIN SUH
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1417895509
Entity Type Code : Individual
Provider Name (Legal Business Name) : LOIS YEJIN SUH
Provider Business Mailing Address
First Line : 625 SHADOW LN
Second Line :
City : LAS VEGAS
State : NV
Zip : 89106-4118
Country : US
Telephone Number : 702-895-3011
Fax Number :
Provider Business Practice Location Address
First Line : 625 SHADOW LN
Second Line :
City : LAS VEGAS
State : NV
Zip : 89106-4118
Country : US
Telephone Number : 702-895-3011
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2026
Last Update Date : 03/23/2026

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Directions to “ LOIS YEJIN SUH ” Practice Location

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