Lico, Serrie C

Lico, Serrie C is an individual health care provider with primary practice located at 8530 W Sunset Rd Ste 110 , Las Vegas NV 89113-2244. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Lico, Serrie C can be contacted via phone (702) 240-6482.

Contact Information

Primary practice address
8530 W Sunset Rd Ste 110 Las Vegas NV 89113-2244
Phone: (702) 240-6482
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 25MA10202300 New Jersey
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X MD068831L Pennsylvania
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 35.122143 Ohio
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 24505 Nevada

Profile Details

NPI number 1790746790
LBN Legal business name Lico, Serrie C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2006
Last updated Mar 18th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790746790 NPPES
New York MEDICAID 03112934

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