Ensign, Lars Douglas

Ensign, Lars Douglas is an individual health care provider with primary practice located at 2170 South Ave , South Lake Tahoe CA 96150-7026. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Ensign, Lars Douglas can be contacted via phone (530) 541-3420.

Contact Information

Primary practice address
2170 South Ave South Lake Tahoe CA 96150-7026
Phone: (530) 541-3420
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 9855 Nevada
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X A75593 California

Profile Details

NPI number 1750389862
LBN Legal business name Ensign, Lars Douglas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2005
Last updated Mar 17th, 2018 - about 6 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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