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NPI Code Detail

MEDICARE: STEPHEN LEDESMA LANGUB LPN

MEDICARE: STEPHEN LEDESMA LANGUB LPN
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
1164X00000XLicensed Vocational NurseVN220392CA

General Provider Information

NPI Number : 1336721612
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHEN LEDESMA LANGUB LPN
Provider Business Mailing Address
First Line : 6756 ENCHANTED COVE CT
Second Line :
City : LAS VEGAS
State : NV
Zip : 89139-6112
Country : US
Telephone Number : 714-386-8944
Fax Number :
Provider Business Practice Location Address
First Line : 3131 W CRAIG RD STE 180
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89032-0861
Country : US
Telephone Number : 702-586-5999
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/26/2021
Last Update Date : 04/26/2021

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Directions to “ STEPHEN LEDESMA LANGUB LPN” Practice Location

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