Leo Gan-Lim, M.D., Prof Corp
Internal Medicine in Las Vegas, NV. Organization (NPI-2).
NPI number1093322158
StatusActive
Last updated in NPPESAug 15, 2023
Details
- NPI
- 1093322158
- Entity type
- Organization (NPI-2)
- Legal business name
- Leo Gan-Lim, M.D., Prof Corp
- Organization subpart
- No
- Enumeration date
- Sep 23, 2020
- Certification date
- Aug 15, 2023
- Last updated
- Aug 15, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
Practice location
653 N Town Center Dr Ste 101Las Vegas, NV 89144-0515
Phone 702-485-2791 · Fax 702-485-2812
Mailing address
2654 Topaz Blue StLas Vegas, NV 89146-5490
Other practice locations
657 N Town Center Dr
Las Vegas, NV 89144-6367
Las Vegas, NV 89144-6367
Phone 702-453-3799 · Fax 702-453-5741
Authorized official
Leonardo Gan-Lim
Managing Member
7024612707
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