MEDICARE: DONALD LAWRENCE KWOK M.D.

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
1	207RG0100X	Gastroenterology Physician	6928	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1477505766
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DONALD LAWRENCE KWOK M.D.

Provider Business Mailing Address
First Line	:	PO BOX 50794
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89016-0794
Country	:	US
Telephone Number	:	702-796-0231
Fax Number	:	702-796-5211

Provider Business Practice Location Address
First Line	:	6950 S CIMARRON RD STE 200
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89113-2135
Country	:	US
Telephone Number	:	702-796-0231
Fax Number	:	702-796-5211

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/16/2006
Last Update Date	:	09/26/2018

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