MEDICARE: ALVIN B LIN, MD, PLLC

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	207Q00000X	Family Medicine Physician
2	207QG0300X	Geriatric Medicine (Family Medicine) Physician

General Provider Information

NPI Number	:	1629548391
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALVIN B LIN, MD, PLLC

Provider Business Mailing Address
First Line	:	4775 S DURANGO DR STE 200
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89147-8163
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4775 S DURANGO DR STE 200
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89147-8163
Country	:	US
Telephone Number	:	702-807-4181
Fax Number	:	888-505-7769

Authorized Official
Title or Position	:	OWNER
Name	:	ALVIN B LIN
Credential	:	MD
Telephone Number	:	702-807-4181

Provider Enumeration Date	:	11/26/2018
Last Update Date	:	11/26/2018

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