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1982347662 NPI number — LUCAS FENGMING GUO PHARMD

NPI Number: 1982347662
Health Care Provider/Practitioner: LUCAS FENGMING GUO PHARMD

Information about “1982347662” NPI (LUCAS FENGMING GUO PHARMD) exists in 1982347662 in HTML format HTML  |  1982347662 in plain Text format TXT  |  1982347662 in PDF (Portable Document Format) PDF  |  1982347662 in an XML format XML  formats.

NPI Number : 1982347662 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1982347662",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GUO",
    "FirstName": "LUCAS",
    "MiddleName": "FENGMING",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "PHARMD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "GUO",
    "OtherFirstName": "FENGMING",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "7963 CARMEL HEIGHTS AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LAS VEGAS",
    "MailingAddressStateName": "NV",
    "MailingAddressPostalCode": "89178-3809",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "702-477-5093",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3041 W HORIZON RIDGE PKWY STE 100",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HENDERSON",
    "PracticeLocationAddressStateName": "NV",
    "PracticeLocationAddressPostalCode": "89052-4444",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "702-778-8880",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/19/2022",
    "LastUpdateDate": "04/19/2022",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "183500000X",
        "TaxonomyName": "Pharmacist",
        "LicenseNumber": "21976",
        "LicenseNumberStateCode": "NV",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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