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NPI Code Detail

MEDICARE: LILI S LERO FNP

MEDICARE: LILI S LERO FNP
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
1363LF0000XFamily Nurse PractitionerAPN001483NV

General Provider Information

NPI Number : 1821425596
Entity Type Code : Individual
Provider Name (Legal Business Name) : LILI S LERO FNP
Provider Business Mailing Address
First Line : 1706 W BONANZA RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89106-4704
Country : US
Telephone Number : 702-631-6860
Fax Number : 702-631-6864
Provider Business Practice Location Address
First Line : 1706 W BONANZA RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89106-4704
Country : US
Telephone Number : 702-631-6860
Fax Number : 702-631-6864
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2013
Last Update Date : 09/26/2013

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Directions to “ LILI S LERO FNP” Practice Location

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