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Contact Information

PROSTHETICS ADVANCEMENT LAB, LLC
3199 E WARM SPRINGS RD STE 300
LAS VEGAS, NV89120-3150
 Phone: 702-207-9500
 Fax: 702-852-0492
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ocularist

156FX1700X
 

Anaplastologist

229N00000X
Indicates primary specialty

NPI Profile & details for PROSTHETICS ADVANCEMENT LAB LLC · (Female)

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
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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