Dr. Lance T. Bacon, D.O.
Emergency Medicine in North Las Vegas, NV. Individual provider (NPI-1).
NPI number1164742813
StatusActive
Last updated in NPPESAug 2, 2023
Details
- NPI
- 1164742813
- Entity type
- Individual (NPI-1)
- Name
- Dr. Lance T. Bacon
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 4, 2010
- Certification date
- Aug 2, 2023
- Last updated
- Aug 2, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | DO1921 | NV | Yes |
| 207P00000X | Emergency Medicine | 2012013458 | MO |
Practice location
6900 N Pecos RdNorth Las Vegas, NV 89086-4400
Phone 702-791-9000
Mailing address
6900 N Pecos RdNorth Las Vegas, NV 89086-4400
Phone 702-791-9000
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