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NPI Code Detail

MEDICARE: LYNN KOWALSKI MD LTD

MEDICARE: LYNN KOWALSKI MD LTD
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
12086X0206XSurgical Oncology Physician
2207VX0201XGynecologic Oncology Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1316984727
Entity Type Code : Organization
Provider Name (Legal Business Name) : LYNN KOWALSKI MD LTD
Provider Business Mailing Address
First Line : 6020 S JONES BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89118-2619
Country : US
Telephone Number : 702-739-6467
Fax Number : 702-733-1689
Provider Business Practice Location Address
First Line : 6020 S JONES BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89118-2619
Country : US
Telephone Number : 702-739-6467
Fax Number : 702-733-1689
Authorized Official
Title or Position : OWNER
Name : LYNN D KOWALSKI
Credential : MD
Telephone Number : 702-739-6467
Provider Enumeration Date : 06/02/2006
Last Update Date : 08/01/2023

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Directions to “LYNN KOWALSKI MD LTD ” Practice Location

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