NPI Profile for PROSTHETICS ADVANCEMENT LAB LLC in LAS VEGAS, NV.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Ocularist |
156FX1700X | |||
Anaplastologist |
229N00000X |
| NPI Number | 1972002632 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 02/08/2018 | |
| Last updated | 07/02/2020 - About 6 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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