Organization
ANDREW J CONLU MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI LABRECQUE (ACCTS MGR)
(702) 453-3799
Entity
Organization
Contact information
Practice address
118 E HASKELL ST, WINNEMUCCA, NV 89445-3247
(775) 623-5222
Mailing address
PO BOX 230545, LAS VEGAS, NV 89105-0545
(702) 453-3799
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
6600
NV
208M00000X
Hospitalist Physician
Primary
6600
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6600
NV LICENSE
NV
Enumeration date
08/05/2013
Last updated
08/05/2013
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