MEDICARE: LORI LYNN KELLOGG MD

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	207LP2900X	Pain Medicine (Anesthesiology) Physician	ME105451	FL
2	207L00000X	Anesthesiology Physician	D0067850	MD
3	208VP0000X	Pain Medicine Physician	ME105451	FL
4	207L00000X	Anesthesiology Physician	ME105451	FL
5	208VP0014X	Interventional Pain Medicine Physician	ME105451	FL
6	207XS0117X	Orthopaedic Surgery of the Spine Physician	ME105451	FL
7	207L00000X	Anesthesiology Physician	MD428100	PA

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	146PL	OTHER	FL	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1659479475
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LORI LYNN KELLOGG MD

Provider Business Mailing Address
First Line	:	10703 HARVEST GREEN WAY
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89135-1246
Country	:	US
Telephone Number	:	850-797-6180
Fax Number	:

Provider Business Practice Location Address
First Line	:	10703 HARVEST GREEN WAY
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89135-1246
Country	:	US
Telephone Number	:	850-797-6180
Fax Number	:

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

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	01/26/2026

Similar Medicare Providers

1336093095 — RAYDEN MULLEN
Practice Location Address:

10792 CRESTVIEW POINTE AVE
LAS VEGAS, NV
89166-1246

Practice Phone: 562-652-9289
Practice Fax:

1407706625 — JULIE FIERRO-LOPEZ
Practice Location Address:

10792 CRESTVIEW POINTE AVE
LAS VEGAS, NV
89166-1246

Practice Phone: 562-652-9289
Practice Fax:

1588517809 — JADE SMITH
Practice Location Address:

10500 HARVEST WIND DR
LAS VEGAS, NV
89135-4015

Practice Phone: 501-247-4655
Practice Fax:

1558213736 — A1 WOUND SPECIALISTS, LLC
Practice Location Address:

11035 LAVENDER HILL DR , SUITE 160-473
LAS VEGAS, NV
89135

Practice Phone: 702-757-5105
Practice Fax:

1053317040 — DR. VERNE E LEWIS PHD
Practice Location Address:

1980 FESTIVAL PLAZA DR
LAS VEGAS, NV
89135-2927

Practice Phone: 323-205-7088
Practice Fax:

1922008523 — RUCKDESCHEL MANNO, LTD. DBA
Practice Location Address:

ONE BREAKTHROUGH WAY
LAS VEGAS, NV
89135-3011

Practice Phone: 702-822-5433
Practice Fax: 702-944-0471

Directions to “ LORI LYNN KELLOGG MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.