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NPI Code Detail

MEDICARE: ALVANCIN LOUIS MD

MEDICARE: ALVANCIN LOUIS MD
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
12086S0129XVascular Surgery Physician036171472IL
22086S0129XVascular Surgery PhysicianMW136647FL

General Provider Information

NPI Number : 1770945768
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALVANCIN LOUIS MD
Provider Business Mailing Address
First Line : 801 S RANCHO DR STE E6
Second Line :
City : LAS VEGAS
State : NV
Zip : 89106-3812
Country : US
Telephone Number : 702-240-6482
Fax Number :
Provider Business Practice Location Address
First Line : 5225 S DURANGO DR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89113-0137
Country : US
Telephone Number : 702-240-6482
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2016
Last Update Date : 11/01/2024

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Directions to “ ALVANCIN LOUIS MD” Practice Location

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