Individual
LAMONT TYLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
10652 S EASTERN AVE, HENDERSON, NV 89052
(702) 476-2040
Mailing address
645 E STATE HIGHWAY 121 STE 600, COPPELL, TX 75019-7942
(972) 745-7500
(972) 745-4336
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO2360
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036076076
—
IL
Enumeration date
09/24/2006
Last updated
05/15/2018
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