MEDICARE: LUBRITZ & NASRI, 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	207Y00000X	Otolaryngology Physician	10450	NV
2	207YX0905X	Otolaryngology/Facial Plastic Surgery Physician	7859	NV
3	207YX0905X	Otolaryngology/Facial Plastic Surgery Physician	2598	NV

General Provider Information

NPI Number	:	1841513835
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LUBRITZ & NASRI, PLLC

Provider Business Mailing Address
First Line	:	3101 S MARYLAND PKWY STE 102
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89109-2324
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3101 S MARYLAND PKWY STE 102
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89109-2324
Country	:	US
Telephone Number	:	702-732-4491
Fax Number	:

Authorized Official
Title or Position	:	MANAGING PARTNER
Name	:	DR. JOEL LUBRITZ
Credential	:
Telephone Number	:	702-732-4491

Provider Enumeration Date	:	03/05/2010
Last Update Date	:	11/09/2020

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