Provider Demographics
NPI:1891529186
Name:FINK-SOTO, LAURA LEE (OMD)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:LEE
Last Name:FINK-SOTO
Suffix:
Gender:F
Credentials:OMD
Other - Prefix:DR
Other - First Name:LAURA
Other - Middle Name:LEE
Other - Last Name:FINK-SOTO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OMD, RD
Mailing Address - Street 1:5420 PAINTED GORGE DR
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89149-4671
Mailing Address - Country:US
Mailing Address - Phone:702-281-0118
Mailing Address - Fax:
Practice Address - Street 1:9640 W TROPICANA AVE STE 115
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89147-2604
Practice Address - Country:US
Practice Address - Phone:702-281-0118
Practice Address - Fax:702-788-9029
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-28
Last Update Date:2024-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV2045171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist