Healthcare Provider Details

I. General information

NPI: 1891794483
Provider Name (Legal Business Name): MARGARET LANARD MD
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 07/18/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2598 WINDMILL PKWY.
HENDERSON NV
89074
US

IV. Provider business mailing address

2598 WINDMILL PKWY.
HENDERSON NV
89074
US

V. Phone/Fax

Practice location:
  • Phone: 702-896-6043
  • Fax: 702-896-6043
Mailing address:
  • Phone: 702-896-6043
  • Fax: 702-896-6043

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number10902
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: