Individual
DR. JUSTIN CHARLES DE LANNOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6900 N PECOS RD, NORTH LAS VEGAS, NV 89086-4400
(702) 791-9000
Mailing address
6900 N PECOS RD, NORTH LAS VEGAS, NV 89086-4400
(702) 791-9000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
20116
NV
207R00000X
Internal Medicine Physician
DR.0065143
CO
208M00000X
Hospitalist Physician
Primary
20116
NV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
029147
KAISER COMMERCIAL NUMBER
CO
Enumeration date
04/13/2017
Last updated
03/13/2026
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