Provider Demographics
NPI:1003091422
Name:LIN, CHERIE (DO)
Entity Type:Individual
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First Name:CHERIE
Middle Name:
Last Name:LIN
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Gender:F
Credentials:DO
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Mailing Address - Street 1:6301 MOUNTAIN VISTA ST
Mailing Address - Street 2:SUITE 203
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89014-2364
Mailing Address - Country:US
Mailing Address - Phone:702-387-8155
Mailing Address - Fax:702-385-4823
Practice Address - Street 1:3006 S MARYLAND PKWY
Practice Address - Street 2:SUITE 400
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89109-2218
Practice Address - Country:US
Practice Address - Phone:702-369-5582
Practice Address - Fax:702-369-1533
Is Sole Proprietor?:No
Enumeration Date:2008-01-03
Last Update Date:2008-01-03
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Provider Licenses
StateLicense IDTaxonomies
NV1323207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
137658Medicare UPIN