Individual
LAWRENCE J. PELLEGRINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3186 S MARYLAND PKWY, DEPARTMENT OF EMERGENCY SERVICES, LAS VEGAS, NV 89109-2317
(702) 893-3833
(702) 893-4736
Mailing address
3196 S MARYLAND PKWY, SUITE 107, LAS VEGAS, NV 89109-2305
(702) 893-3833
(702) 893-4736
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
741
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2019800
—
NV
Enumeration date
10/16/2006
Last updated
02/03/2012
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