Individual
LAURENCE RONALD MCCLISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
605 SIERRA ROSE DR, SUITE 4, RENO, NV 89511-2359
(775) 348-8100
(775) 348-8101
Mailing address
605 SIERRA ROSE DR, SUITE 4, RENO, NV 89511-2359
(775) 348-8100
(775) 348-8101
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
2906
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002016322
—
NV
Enumeration date
12/27/2006
Last updated
10/22/2014
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