DR. Thomas Lemuel Ilustrisimo, DO

NPI #1184280497 in Henderson, Nevada

Provider Information

NPI Number: 1184280497
Entity Type: Individual
Name: DR. Thomas Lemuel Ilustrisimo, DO
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Internal Medicine
Credential: DO
Enumeration Date: May 13, 2019
Last Updated: Oct 18, 2022

Practice Location

Address: 10624 S EASTERN AVE # A-955
City: Henderson
State: Nevada
ZIP Code: 89052-2982
Phone: (702) 407-7700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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