Individual ProviderLazaro LopezTechnicianNursing Service Related ProvidersPractice Address2770 S Maryland Pkwy, Las Vegas, NV 89109-1554(702) 331-0100PECOS EnrollmentBased on the most recent information from CMS, provider Lazaro Lopez does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1265063093Provider TypeIndividualFull NameLopez, LazaroGenderMaleSole ProprietorNoEnumeration Date1/30/2020Last Updated1/30/2020Contact InformationPractice LocationPractice Address2770 S Maryland Pkwy, Las Vegas, NV 89109-1554Phone(702) 331-0100FaxUnlisted FaxMailing LocationMailing Address2770 S Maryland Pkwy, Las Vegas, NV 89109-1554PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode3747P1801XPrimaryDescriptionTechnicianNursing Service Related ProvidersLicenseUnlisted Issuer