| Lyass Pc A Professional Medical Corp | |
|
5950 S. Durgango Dr Suite 100 Las Vegas CA 89113 | |
| (702) 487-6000 | |
| Not Available |
| Full Name | Lyass Pc A Professional Medical Corp |
|---|---|
| Speciality | Clinic/center |
| Location | 5950 S. Durgango Dr, Las Vegas, California |
| Authorized Official Name and Position | Sergey Lyass (MEDICAL DIRECTOR) |
| Authorized Official Contact | 7024876000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lyass Pc A Professional Medical Corp 5950 S. Durgango Dr Suite 100 Las Vegas CA 89113 Ph: (702) 487-6000 | Lyass Pc A Professional Medical Corp 5950 S. Durgango Dr Suite 100 Las Vegas CA 89113 Ph: (702) 487-6000 |
| NPI Number | 1831742758 |
|---|---|
| Provider Enumeration Date | 07/19/2019 |
| Last Update Date | 07/19/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831742758 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |