MEDICARE: DR. DANIEL O. LAIRD 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
1	207LP2900X	Pain Medicine (Anesthesiology) Physician	7912	NV
2	207L00000X	Anesthesiology Physician	7912	NV

Other Identifiers

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

General Provider Information

NPI Number	:	1679540306
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANIEL O. LAIRD M.D.

Provider Business Mailing Address
First Line	:	3157 N RAINBOW BLVD # 518
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89108-4578
Country	:	US
Telephone Number	:	702-386-4700
Fax Number	:	702-386-4701

Provider Business Practice Location Address
First Line	:	4175 S RILEY ST STE 102
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89147-8719
Country	:	US
Telephone Number	:	702-202-3700
Fax Number	:	702-386-4701

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

Provider Enumeration Date	:	03/01/2006
Last Update Date	:	08/08/2025

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