Individual
LAURA D ADDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
390 W LAKE MEAD PKWY STE 120, HENDERSON, NV 89015-7417
(725) 220-8477
(833) 749-0360
Mailing address
390 W LAKE MEAD PKWY STE 120, HENDERSON, NV 89015-7417
(725) 220-8477
(833) 749-0360
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
1216
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1316010895
—
NV
Enumeration date
11/15/2006
Last updated
12/14/2021
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