| Desert Blossom Psychiatry (lau) Pllc | |
|
3651 Lindell Rd Ste D365 Las Vegas NV 89103-1254 | |
| (702) 291-8789 | |
| Not Available |
| Full Name | Desert Blossom Psychiatry (lau) Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3651 Lindell Rd Ste D365, Las Vegas, Nevada |
| Authorized Official Name and Position | Kimbley Lau (OWNER) |
| Authorized Official Contact | 7022918789 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Desert Blossom Psychiatry (lau) Pllc 3651 Lindell Rd Ste D365 Las Vegas NV 89103-1254 Ph: (702) 291-8789 | Desert Blossom Psychiatry (lau) Pllc 3651 Lindell Rd Ste D365 Las Vegas NV 89103-1254 Ph: (702) 291-8789 |
| NPI Number | 1679279541 |
|---|---|
| Provider Enumeration Date | 02/02/2023 |
| Last Update Date | 12/05/2023 |
| Certification Date | 12/05/2023 |
| Medicare PECOS PAC ID | 7810350303 |
|---|---|
| Medicare Enrollment ID | O20230831000815 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679279541 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Kimbley Lau |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629505045 PECOS PAC ID: 5597013797 Enrollment ID: I20230607002400 |
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