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NPI Code Detail

MEDICARE: MICHELLE I LIN DO

MEDICARE: MICHELLE I LIN DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianDO2439NV

General Provider Information

NPI Number : 1043668015
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE I LIN DO
Provider Business Mailing Address
First Line : 3227 E WARM SPRINGS RD STE 300
Second Line :
City : LAS VEGAS
State : NV
Zip : 89120-3180
Country : US
Telephone Number : 702-209-3590
Fax Number : 949-404-8363
Provider Business Practice Location Address
First Line : 3227 E WARM SPRINGS RD STE 300
Second Line :
City : LAS VEGAS
State : NV
Zip : 89120-3180
Country : US
Telephone Number : 702-209-3590
Fax Number : 949-404-8363
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2016
Last Update Date : 08/25/2021

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Directions to “ MICHELLE I LIN DO” Practice Location

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