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NPI Code Detail

MEDICARE: LIPSHUTZ & WILLS MEDICAL GROUP LLP

MEDICARE: LIPSHUTZ & WILLS MEDICAL GROUP LLP
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
1101YA0400XAddiction (Substance Use Disorder) Counselor
2207L00000XAnesthesiology Physician
3207LA0401XAddiction Medicine (Anesthesiology) Physician
4207LP2900XPain Medicine (Anesthesiology) Physician
5208100000XPhysical Medicine & Rehabilitation Physician
62084A0401XAddiction Medicine (Psychiatry & Neurology) Physician
7208VP0014XInterventional Pain Medicine Physician

General Provider Information

NPI Number : 1568740041
Entity Type Code : Organization
Provider Name (Legal Business Name) : LIPSHUTZ & WILLS MEDICAL GROUP LLP
Provider Business Mailing Address
First Line : 6120 S FORT APACHE RD STE 100
Second Line :
City : LAS VEGAS
State : NV
Zip : 89148-6760
Country : US
Telephone Number : 702-948-8660
Fax Number : 702-948-8641
Provider Business Practice Location Address
First Line : 6120 S FORT APACHE RD STE 100
Second Line :
City : LAS VEGAS
State : NV
Zip : 89148-6760
Country : US
Telephone Number : 702-948-8660
Fax Number : 702-948-8641
Authorized Official
Title or Position : CHIEF OPERATIONS OFFICER
Name : PATRICIA ANNE WILLS
Credential :
Telephone Number : 702-948-8660
Provider Enumeration Date : 08/01/2011
Last Update Date : 05/04/2018

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Practice Fax: 702-948-8641

Directions to “LIPSHUTZ & WILLS MEDICAL GROUP LLP ” Practice Location

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