Individual
LYNNE M ELLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1800 W. CHARLESTON BLVD., LAS VEGAS, NV 89102
(702) 383-2000
Mailing address
1800 W. CHARLESTON BLVD., LAS VEGAS, NV 89102
(702) 383-2000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
20A15619
CA
208000000X
Pediatrics Physician
Primary
DO3318
NV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/01/2014
Last updated
07/31/2023
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