Healthcare Provider Details

I. General information

NPI: 1982894150
Provider Name (Legal Business Name): LAWSON CHARLES RICHTER MD LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/25/2007
Last Update Date: 11/24/2023
Certification Date: 11/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 S RANCHO DR STE 34
LAS VEGAS NV
89106-4899
US

IV. Provider business mailing address

840 S RANCHO DR STE 4-363
LAS VEGAS NV
89106-3837
US

V. Phone/Fax

Practice location:
  • Phone: 702-471-0051
  • Fax: 702-471-0107
Mailing address:
  • Phone: 702-256-3637
  • Fax: 702-471-0107

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License Number8074
License Number StateNV

VIII. Authorized Official

Name: ADRIAN MOLDOVAN
Title or Position: CFO
Credential:
Phone: 702-471-0051