Organization
JEREMY M LIPSHUTZ MD LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA FRIDAY (CREDENTIALER)
(702) 800-8988
Entity
Organization
Contact information
Practice address
6120 S FORT APACHE RD STE 100, LAS VEGAS, NV 89148-6760
(702) 948-8660
(702) 483-6663
Mailing address
6120 S FORT APACHE RD STE 100, LAS VEGAS, NV 89148-6760
(702) 948-8660
(702) 483-6663
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
207LA0401X
Addiction Medicine (Anesthesiology) Physician
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
—
—
208VP0000X
Pain Medicine Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
12/15/2023
Last updated
01/13/2026
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