Individual
LAWRENCE WEISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
17 WADE HAMPTON TRL, HENDERSON, NV 89052-6636
(702) 496-1049
Mailing address
PO BOX 530698, HENDERSON, NV 89053-0698
(702) 496-1049
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
18581
AZ
207Q00000X
Family Medicine Physician
Primary
5906
NV
Other
Enumeration date
02/08/2015
Last updated
02/08/2015
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