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Organization
NORTHEASTERN NEVADA PHYSICIAN PRACTICES LLC
Active
Organization
NORTHEASTERN NEVADA PHYSICIAN PRACTICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLOTTE LAWRENCE (SECRETARY)
(615) 920-7000
Entity
Organization
Contact information
Practice address
1995 ERRECART BLVD, SUITE 203, ELKO, NV 89801-8346
(775) 777-2061
(775) 777-2067
Mailing address
1995 ERRECART BLVD, SUITE 203, ELKO, NV 89801-8346
(775) 777-2061
(775) 777-2067
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
208000000X
Pediatrics Physician
—
—
208600000X
Surgery Physician
—
—
208800000X
Urology Physician
—
—
Other
Enumeration date
05/27/2010
Last updated
09/24/2024
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