| Lucas R Vandermyde, DO | |
|
4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 | |
| (702) 653-2965 | |
| Not Available |
| Full Name | Lucas R Vandermyde |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 4700 Las Vegas Blvd N, Nellis Afb, Nevada |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164083523 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | SL1669 (Nevada) | Secondary |
| 207Q00000X | Family Medicine | 2472 (Nebraska) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Lucas R Vandermyde, DO 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 Ph: (702) 653-2965 | Lucas R Vandermyde, DO 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 Ph: (702) 653-2965 |
Dr. Debra A Koenigsberger, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-2267 | |
Eileen Ly, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-2273 | |
Alisha Provost, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-2273 | |
Noel R Colls, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-2764 | |
Dr. Elizabeth Anne Landman, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-2273 | |
Kristen Dorazio, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-2273 | |
Dipti S Patel, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-2965 |