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NPI Code Detail

MEDICARE: TRURELIEF PAIN CARE, PLLC

MEDICARE: TRURELIEF PAIN CARE, PLLC
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
1363LA2200XAdult Health Nurse Practitioner
2363LG0600XGerontology Nurse Practitioner
3363L00000XNurse Practitioner

General Provider Information

NPI Number : 1639975089
Entity Type Code : Organization
Provider Name (Legal Business Name) : TRURELIEF PAIN CARE, PLLC
Provider Business Mailing Address
First Line : 10409 PACIFIC PALISADES AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89144-1221
Country : US
Telephone Number : 702-337-2629
Fax Number :
Provider Business Practice Location Address
First Line : 3031 CHERUM ST
Second Line :
City : LAS VEGAS
State : NV
Zip : 89135-2170
Country : US
Telephone Number : 702-337-2629
Fax Number :
Authorized Official
Title or Position : NURSE PRACTITIONER
Name : MR. LORENZO TAN OMANDAC
Credential : APRN
Telephone Number : 702-569-2352
Provider Enumeration Date : 02/24/2025
Last Update Date : 03/01/2025

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Directions to “TRURELIEF PAIN CARE, PLLC ” Practice Location

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