MEDICARE: LAURA LEE FINK-SOTO OMD

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
1	171100000X	Acupuncturist	2045	NV

General Provider Information

NPI Number	:	1891529186
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURA LEE FINK-SOTO OMD

Provider Business Mailing Address
First Line	:	5420 PAINTED GORGE DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89149-4671
Country	:	US
Telephone Number	:	702-281-0118
Fax Number	:

Provider Business Practice Location Address
First Line	:	9640 W TROPICANA AVE STE 115
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89147-2604
Country	:	US
Telephone Number	:	702-281-0118
Fax Number	:	702-788-9029

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/28/2024
Last Update Date	:	08/28/2024

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