MEDICARE: CARMEN LURASCHI MD

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	207RP1001X	Pulmonary Disease Physician	14979	NV
2	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	14979	NV

General Provider Information

NPI Number	:	1609071869
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARMEN LURASCHI MD

Provider Business Mailing Address
First Line	:	2040 W CHARLESTON BLVD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102
Country	:	US
Telephone Number	:	702-671-2362
Fax Number	:	702-671-2376

Provider Business Practice Location Address
First Line	:	2040 W CHARLESTON BLVD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-2227
Country	:	US
Telephone Number	:	702-671-2362
Fax Number	:	702-671-2376

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/18/2007
Last Update Date	:	07/31/2025

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