Individual provider · Type 1 NPI
Samuel Houston Lane V
Family Nurse Practitioner · Las Vegas, NV
NPI number
1104628940
Active
Practice location
9785 S Maryland Pkwy Ste 2
Las Vegas, NV 89183-7124
Mailing address
9756 Homestead Mesa St
Las Vegas, NV 89141-8954
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 888784 (NV) |
Family Nurse Practitioner: Definition to come...
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About NPI 1104628940
Samuel Houston Lane V's National Provider Identifier is 1104628940, issued on Mar 25, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Las Vegas, NV. The record was last updated on Nov 19, 2025.