Individual
ROSNER PATRICK LUSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1621 E FLAMINGO RD, B-16, LAS VEGAS, NV 89119-5276
(702) 696-0506
(702) 696-0532
Mailing address
1621 E FLAMINGO RD, B-16, LAS VEGAS, NV 89119-5276
(702) 696-0506
(702) 696-0532
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
8699
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002018068
—
NV
01
—
29D2033945
CLIA
NV
01
—
964206
MCAID
AZ
Enumeration date
05/11/2006
Last updated
06/11/2012
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