Healthcare Provider Details

I. General information

NPI: 1821029760
Provider Name (Legal Business Name): FRANCO MARGATE LEE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2006
Last Update Date: 03/03/2021
Certification Date: 03/03/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5741 S FORT APACHE RD STE 120
LAS VEGAS NV
89148-5622
US

IV. Provider business mailing address

5130 S FORT APACHE RD STE 215-232
LAS VEGAS NV
89148
US

V. Phone/Fax

Practice location:
  • Phone: 702-798-0111
  • Fax: 866-333-0436
Mailing address:
  • Phone: 702-798-0111
  • Fax: 844-247-3481

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number11932
License Number StateNV
# 2
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number11932
License Number StateNV
# 3
Primary TaxonomyY
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License Number11932
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: