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Contact Information

RYAN LACEY
1800 W. CHARLESTON BLVD.
LAS VEGAS, NV89102
 Phone: 702-383-2000
 Fax: 702-671-2376
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for RYAN LACEY · (Male)

NPI # 1083175244
Status Active
Credentials
Entity Individual
Enumeration date 03/28/2019
Last updated 08/04/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • NV License # DO3338
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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