# EAST RUSSELL SURGERY PARTNERS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861228124
- **Authorized official:** DAVID LANZKOWSKY M.D. (OWNER)
- **Authorized official phone:** (702) 507-0983

## Contact information

- **Practice address:** 4050 E. RUSSELL RD, SUITE 100, LAS VEGAS, NV 89120
- **Practice address phone:** (702) 507-0983
- **Practice address fax:** (702) 839-1301
- **Mailing address:** 4454 N. DECATUR BLVD, LAS VEGAS, NV 89130
- **Mailing address phone:** (702) 507-0983
- **Mailing address fax:** (702) 839-1301

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/12/2024
- **Last updated:** 09/12/2024