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NPI Code Detail

MEDICARE: DR. LYNDA O TIRAO M.D.

MEDICARE:  DR. LYNDA O TIRAO  M.D.
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
1207RC0000XCardiovascular Disease Physician8221NV
2207RC0000XCardiovascular Disease Physician6713HI

General Provider Information

NPI Number : 1174601645
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LYNDA O TIRAO M.D.
Provider Business Mailing Address
First Line : 3585 S EASTERN AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89169-3344
Country : US
Telephone Number : 702-733-9300
Fax Number : 702-733-9580
Provider Business Practice Location Address
First Line : 3585 S EASTERN AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89169-3344
Country : US
Telephone Number : 702-733-9300
Fax Number : 702-733-9580
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2006
Last Update Date : 07/08/2007

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Directions to “ DR. LYNDA O TIRAO M.D.” Practice Location

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