Organization
CENTENNIAL MEDICAL GROUP LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID LANZKOWSKY M.D. (OWNER)
(702) 839-1203
Entity
Organization
Contact information
Practice address
4454 N DECATUR BLVD, LAS VEGAS, NV 89130
(702) 507-0996
(702) 507-0992
Mailing address
4454 N DECATUR BLVD, LAS VEGAS, NV 89130-5286
(702) 839-1203
(702) 839-1301
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
09/15/2006
Last updated
08/23/2018
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