Provider Demographics
NPI:1477534030
Name:SAUNDERS-TEIGELER, YVONNE LARA (MD)
Entity Type:Individual
Prefix:DR
First Name:YVONNE
Middle Name:LARA
Last Name:SAUNDERS-TEIGELER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:6355 S BUFFALO DR FL 3
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89113-2133
Mailing Address - Country:US
Mailing Address - Phone:702-216-3346
Mailing Address - Fax:702-671-6883
Practice Address - Street 1:1700 N BUFFALO DR STE 100
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89128-2677
Practice Address - Country:US
Practice Address - Phone:702-233-8855
Practice Address - Fax:702-952-3548
Is Sole Proprietor?:No
Enumeration Date:2005-11-10
Last Update Date:2022-08-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KS0441933207Q00000X, 207Q00000X
NV9879207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV9879OtherSTATE LICENSE
KS201265220AMedicaid
NV1477534030Medicaid