MEDICARE: BRIAN A LEMPER DO 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
1	207LP2900X	Pain Medicine (Anesthesiology) Physician	971	NV
2	208VP0014X	Interventional Pain Medicine Physician	971	NV

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	DC4575	OTHER	NV	RAILROAD MEDICARE

General Provider Information

NPI Number	:	1558561944
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRIAN A LEMPER DO LTD

Provider Business Mailing Address
First Line	:	9811 W CHARLESTON BLVD
Second Line	:	SUITE 2-389
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-7528
Country	:	US
Telephone Number	:	702-562-3039
Fax Number	:	702-562-6928

Provider Business Practice Location Address
First Line	:	5950 S DURANGO DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89113-1793
Country	:	US
Telephone Number	:	702-562-3039
Fax Number	:	702-562-6928

Authorized Official
Title or Position	:	PRESIDENT
Name	:	BRIAN A LEMPER
Credential	:	DO
Telephone Number	:	702-562-3039

Provider Enumeration Date	:	07/23/2007
Last Update Date	:	09/23/2009

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