Provider Demographics
NPI:1417959214
Name:LWIN, ALOYSIUS N (MD)
Entity Type:Individual
Prefix:
First Name:ALOYSIUS
Middle Name:N
Last Name:LWIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9811 W CHARLESTON BLVD
Mailing Address - Street 2:SUITE 2-389
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89117-7528
Mailing Address - Country:US
Mailing Address - Phone:702-562-3039
Mailing Address - Fax:702-562-6928
Practice Address - Street 1:5950 S DURANGO DR
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89113-1793
Practice Address - Country:US
Practice Address - Phone:702-562-3039
Practice Address - Fax:702-562-6928
Is Sole Proprietor?:No
Enumeration Date:2005-08-11
Last Update Date:2009-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV9190207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVP00681411OtherRAILROAD MEDICARE
NVV35964Medicare UPIN
NVE43573Medicare PIN