Provider Demographics
NPI:1134183494
Name:LAPASARAN, ALEX S (APRN-C)
Entity type:Individual
Prefix:
First Name:ALEX
Middle Name:S
Last Name:LAPASARAN
Suffix:
Gender:M
Credentials:APRN-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7315 S PECOS RD STE 101
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89120-3768
Mailing Address - Country:US
Mailing Address - Phone:702-982-7240
Mailing Address - Fax:702-952-5444
Practice Address - Street 1:3901 S MARYLAND PKWY
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89119-7537
Practice Address - Country:US
Practice Address - Phone:702-982-7240
Practice Address - Fax:702-952-5444
Is Sole Proprietor?:No
Enumeration Date:2006-04-13
Last Update Date:2024-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVAPRN000737363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV100508351Medicaid
101282Medicare ID - Type Unspecified