Healthcare Provider Details

I. General information

NPI: 1558561944
Provider Name (Legal Business Name): BRIAN A LEMPER DO LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2007
Last Update Date: 09/23/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5950 S DURANGO DR
LAS VEGAS NV
89113-1793
US

IV. Provider business mailing address

9811 W CHARLESTON BLVD SUITE 2-389
LAS VEGAS NV
89117-7528
US

V. Phone/Fax

Practice location:
  • Phone: 702-562-3039
  • Fax: 702-562-6928
Mailing address:
  • Phone: 702-562-3039
  • Fax: 702-562-6928

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number971
License Number StateNV
# 2
Primary TaxonomyY
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number971
License Number StateNV

VIII. Authorized Official

Name: BRIAN A LEMPER
Title or Position: PRESIDENT
Credential: DO
Phone: 702-562-3039