Provider Demographics
NPI: | 1689175333 |
---|---|
Name: | NEPHROLOGY & ENDOCRINE ASSOCIATES INC |
Entity Type: | Organization |
Organization Name: | NEPHROLOGY & ENDOCRINE ASSOCIATES INC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | PRESIDENT |
Authorized Official - Prefix: | |
Authorized Official - First Name: | LAWRENCE |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | LEHRNER |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | MD |
Authorized Official - Phone: | 702-877-1887 |
Mailing Address - Street 1: | 1294 S JONES BLVD |
Mailing Address - Street 2: | |
Mailing Address - City: | LAS VEGAS |
Mailing Address - State: | NV |
Mailing Address - Zip Code: | 89146 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 702-877-1887 |
Mailing Address - Fax: | 702-877-0470 |
Practice Address - Street 1: | 7326 W CHEYENNE AVE |
Practice Address - Street 2: | |
Practice Address - City: | LAS VEGAS |
Practice Address - State: | NV |
Practice Address - Zip Code: | 89129-6201 |
Practice Address - Country: | US |
Practice Address - Phone: | 702-877-1887 |
Practice Address - Fax: | 702-877-0470 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | Yes |
Parent Organization LBN: | NEPHROLOGY & ENDOCRINE ASSOCIATES INC |
Parent Organization TIN: | <UNAVAIL> |
Enumeration Date: | 2018-02-27 |
Last Update Date: | 2024-02-29 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 261QA1903X | Ambulatory Health Care Facilities | Clinic/Center | Ambulatory Surgical |