Provider Demographics
NPI:1558561944
Name:BRIAN A LEMPER DO LTD
Entity Type:Organization
Organization Name:BRIAN A LEMPER DO LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:A
Authorized Official - Last Name:LEMPER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:702-562-3039
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
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BRIAN A LEMPER DO LTD
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-07-23
Last Update Date:2009-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV971207LP2900X, 208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Multi-Specialty
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVDC4575OtherRAILROAD MEDICARE
NVV35964Medicare PIN
NVDC4575OtherRAILROAD MEDICARE