Provider Demographics
NPI:1639975089
Name:TRURELIEF PAIN CARE, PLLC
Entity type:Organization
Organization Name:TRURELIEF PAIN CARE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:MR
Authorized Official - First Name:LORENZO
Authorized Official - Middle Name:TAN
Authorized Official - Last Name:OMANDAC
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:702-569-2352
Mailing Address - Street 1:10409 PACIFIC PALISADES AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89144-1221
Mailing Address - Country:US
Mailing Address - Phone:702-337-2629
Mailing Address - Fax:
Practice Address - Street 1:3031 CHERUM ST
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89135-2170
Practice Address - Country:US
Practice Address - Phone:702-337-2629
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-24
Last Update Date:2025-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Multi-Specialty
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontologyGroup - Multi-Specialty