MEDICARE: DR. LAIMIS H SADZIUS 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	207P00000X	Emergency Medicine Physician	10343	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	:	1720097967
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LAIMIS H SADZIUS MD

Provider Business Mailing Address
First Line	:	PO BOX 14906
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89114-4906
Country	:	US
Telephone Number	:	702-822-0644
Fax Number	:

Provider Business Practice Location Address
First Line	:	360 S LOLA LN
Second Line	:
City	:	PAHRUMP
State	:	NV
Zip	:	89048-0884
Country	:	US
Telephone Number	:	775-751-7561
Fax Number	:

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

Provider Enumeration Date	:	08/05/2006
Last Update Date	:	05/14/2008

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