DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DR. LARS DOUGLAS ENSIGN MD

MEDICARE: DR. LARS DOUGLAS ENSIGN 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
1207P00000XEmergency Medicine Physician9855NV
2207P00000XEmergency Medicine PhysicianA75593CA

General Provider Information

NPI Number : 1750389862
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LARS DOUGLAS ENSIGN MD
Provider Business Mailing Address
First Line : 1111 EMERALD BAY RD
Second Line :
City : SOUTH LAKE TAHOE
State : CA
Zip : 96150-6207
Country : US
Telephone Number : 530-543-5639
Fax Number : 530-541-8723
Provider Business Practice Location Address
First Line : 2170 SOUTH AVE
Second Line :
City : SOUTH LAKE TAHOE
State : CA
Zip : 96150-7026
Country : US
Telephone Number : 530-541-3420
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2005
Last Update Date : 03/17/2018

Similar Medicare Providers

1881690485 — DR. MARISSA ROSE MUSCAT MD
Practice Location Address:
2170 SOUTH AVE
SOUTH LAKE TAHOE, CA
96150-7026
Practice Phone: 530-541-3420
Practice Fax: 530-541-8723
1952308710 — DR. JEAN PETERS MAKRIS MD
Practice Location Address:
2170 SOUTH AVE
SOUTH LAKE TAHOE, CA
96150-7026
Practice Phone: 530-541-3420
Practice Fax: 530-541-8723
1639176415 — DR. THOMAS JOSEPH JANTOS MD
Practice Location Address:
2170 SOUTH AVE
SOUTH LAKE TAHOE, CA
96150-7026
Practice Phone: 530-541-3420
Practice Fax:
1427056845 — RAYMOND LEE STILLWELL MD
Practice Location Address:
2170 SOUTH AVE
SOUTH LAKE TAHOE, CA
96150-7026
Practice Phone: 530-541-3420
Practice Fax:
1871591099 — DR. WILLIAM MACGREGOR GREEN MD
Practice Location Address:
2170 SOUTH AVE
SOUTH LAKE TAHOE, CA
96150-7026
Practice Phone: 530-543-5968
Practice Fax: 530-543-8683
1114916855 — C-S AND J PATHOLOGY MEDICAL GROUP, INC.
Practice Location Address:
2170 SOUTH AVE , BARTON MEMORIAL HOSPITAL-PATHOLOGY
SOUTH LAKE TAHOE, CA
96150-7026
Practice Phone: 530-542-3000
Practice Fax: 530-543-0124

Directions to “ DR. LARS DOUGLAS ENSIGN MD” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.