Individual
DIANNE LORY HIGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
880 ALDER AVE, SECOND FLOOR, INCLINE VILLAGE, NV 89451-8335
(775) 831-5308
(775) 831-3295
Mailing address
PO BOX 805, NEVADA CITY, CA 95959-0805
(530) 271-3232
(530) 271-3239
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A42102
CA
207Q00000X
Family Medicine Physician
10165
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A421021
—
CA
05
—
100503371
—
NV
01
—
10165
NV STATE LICENSE
—
Enumeration date
07/14/2006
Last updated
12/26/2013
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