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NPI Code Detail

MEDICARE: GINA BENJAMIN LOLOFIE

MEDICARE: GINA BENJAMIN LOLOFIE
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
1163W00000XRegistered Nurse91533NV

General Provider Information

NPI Number : 1144741943
Entity Type Code : Individual
Provider Name (Legal Business Name) : GINA BENJAMIN LOLOFIE
Provider Business Mailing Address
First Line : 4461 E CHARLESTON BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89104-5537
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4461 E CHARLESTON BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89104-5537
Country : US
Telephone Number : 702-791-9000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2017
Last Update Date : 06/30/2017

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Directions to “ GINA BENJAMIN LOLOFIE ” Practice Location

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