| Lords Of Lond | |
|
653 N Town Center Dr 114 Las Vegas NV 89144-0514 | |
| (702) 910-6048 | |
| Not Available |
| Full Name | Lords Of Lond |
|---|---|
| Speciality | Family Medicine |
| Location | 653 N Town Center Dr, Las Vegas, Nevada |
| Authorized Official Name and Position | Wendell D Butler (CEO) |
| Authorized Official Contact | 7026308490 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lords Of Lond 653 N Town Center Dr 114 Las Vegas NV 89144-0514 Ph: (702) 910-6048 | Lords Of Lond 653 N Town Center Dr 114 Las Vegas NV 89144-0514 Ph: (702) 910-6048 |
| NPI Number | 1326479759 |
|---|---|
| Provider Enumeration Date | 12/11/2013 |
| Last Update Date | 12/11/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326479759 | NPI | - | NPPES |
| 2019344 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 5642 (Nevada) | Primary |
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