Individual provider · NPI-1

Laura D Addis, D.O.

Internal Medicine · Henderson, NV

NPI number1316010895
StatusActive
Last updated in NPPESDec 14, 2021

Details

NPI
1316010895
Entity type
Individual (NPI-1)
Name
Laura D Addis
Credential
D.O.
Sex
Female
Sole proprietor
No
Enumeration date
Nov 15, 2006
Certification date
Dec 14, 2021
Last updated
Dec 14, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine1216NVYes

Practice location

390 W Lake Mead Pkwy Ste 120
Henderson, NV 89015-7417

Phone 725-220-8477 · Fax 833-749-0360

Mailing address

390 W Lake Mead Pkwy Ste 120
Henderson, NV 89015-7417

Phone 725-220-8477 · Fax 833-749-0360

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