Di Lauro, Michele Alisa

Di Lauro, Michele Alisa is an individual health care provider with primary practice located at 4180 S. Rainbow Blvd. Suite 810 , Las Vegas NV 89103. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Di Lauro, Michele Alisa can be contacted via phone (702) 383-3645.

Contact Information

Primary practice address
4180 S. Rainbow Blvd. Suite 810 Las Vegas NV 89103
Phone: (702) 383-3645
Fax: (702) 227-8429
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD437131 Pennsylvania
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 25MA06943800 New Jersey
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X 25MA06943800 New Jersey
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X MD437131 Pennsylvania
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 10917 Nevada

Profile Details

NPI number 1891769808
LBN Legal business name Di Lauro, Michele Alisa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated Mar 5th, 2019 - about 5 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 1891769808 NPPES
Nevada MEDICAID 100503279
Nevada MEDICAID 100503659

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