Healthcare Provider Details

I. General information

NPI: 1154218048
Provider Name (Legal Business Name): LORANCE DAGHER FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2025
Last Update Date: 06/23/2025
Certification Date: 06/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6720 VIA AUSTI PKWY STE 250
LAS VEGAS NV
89119-3568
US

IV. Provider business mailing address

2359 BROCKTON WAY
HENDERSON NV
89074-5453
US

V. Phone/Fax

Practice location:
  • Phone: 702-463-4050
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QH0002X
TaxonomyHospice and Palliative Medicine (Family Medicine) Physician
License Number833438
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: