| The Lenox Group | |
|
485 Kolson Cir Apt B Las Vegas NV 89119-6935 | |
| (919) 673-0894 | |
| Not Available |
| Full Name | The Lenox Group |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 485 Kolson Cir Apt B, Las Vegas, Nevada |
| Authorized Official Name and Position | Robert Johnson (OWNER) |
| Authorized Official Contact | 7026132064 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Lenox Group 3970 Palos Verdes St Las Vegas NV 89119-6999 Ph: (919) 525-9312 | The Lenox Group 485 Kolson Cir Apt B Las Vegas NV 89119-6935 Ph: (919) 673-0894 |
| NPI Number | 1861959082 |
|---|---|
| Provider Enumeration Date | 02/24/2019 |
| Last Update Date | 10/12/2021 |
| Certification Date | 10/12/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861959082 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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