MEDICARE: DR. BRIAN ANTHONY LEMPER D.O.

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	208VP0014X	Interventional Pain Medicine Physician	971	NV
2	207LP2900X	Pain Medicine (Anesthesiology) Physician	971	NV

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	050086823	OTHER	NV	RAILROAD MEDICARE

General Provider Information

NPI Number	:	1487656153
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRIAN ANTHONY LEMPER D.O.

Provider Business Mailing Address
First Line	:	9811 W CHARLESTON BLVD
Second Line	:	SUITE 2-389
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-7528
Country	:	US
Telephone Number	:	702-562-3039
Fax Number	:	702-562-6928

Provider Business Practice Location Address
First Line	:	5950 S DURANGO DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89113-1793
Country	:	US
Telephone Number	:	702-562-3039
Fax Number	:	702-562-6928

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

Provider Enumeration Date	:	08/12/2005
Last Update Date	:	09/23/2009

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