Individual
DR. LARS BLOMBERG
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
620 SHADOW LN, LAS VEGAS, NV 89106-4119
(702) 388-4500
Mailing address
30 CRESTVIEW WAY, LAS VEGAS, NV 89124-9155
(702) 872-7028
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
8709
NV
Other
Enumeration date
05/26/2006
Last updated
07/08/2007
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