| 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 |