Provider Demographics
NPI:1669817334
Name:COMPLETE MEDICAL CONSULTANTS, LLC
Entity Type:Organization
Organization Name:COMPLETE MEDICAL CONSULTANTS, LLC
Other - Org Name:COMPLETE MEDICAL CONSULTANTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LYNETTE
Authorized Official - Middle Name:E
Authorized Official - Last Name:LAMPRECHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-566-6429
Mailing Address - Street 1:2920 N GREEN VALLEY PKWY STE 821
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89014-0409
Mailing Address - Country:US
Mailing Address - Phone:702-566-6429
Mailing Address - Fax:702-434-5581
Practice Address - Street 1:2920 N GREEN VALLEY PKWY STE 821
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89014-0409
Practice Address - Country:US
Practice Address - Phone:702-566-6429
Practice Address - Fax:702-434-5581
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-07
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVNV20031145758261QP2300X
261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care