Addis, Laura D

Addis, Laura D is an individual health care provider with primary practice located at 390 W Lake Mead Pkwy Ste 120 , Henderson NV 89015-7417. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Addis, Laura D can be contacted via phone (725) 220-8477.

Contact Information

Primary practice address
390 W Lake Mead Pkwy Ste 120 Henderson NV 89015-7417
Phone: (725) 220-8477
Fax: (833) 749-0360
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 1216 Nevada

Profile Details

NPI number 1316010895
LBN Legal business name Addis, Laura D
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2006
Last updated Dec 14th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316010895 NPPES
Nevada MEDICAID 1316010895

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