Lawrence S Copeland Md Ltd | |
653 N Town Center Dr Suite 100 Las Vegas NV 89144-0514 | |
(702) 686-3847 | |
Not Available |
Full Name | Lawrence S Copeland Md Ltd |
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Speciality | Internal Medicine |
Location | 653 N Town Center Dr, Las Vegas, Nevada |
Authorized Official Name and Position | Lawrence Scott Copeland (OWNER) |
Authorized Official Contact | 7027672607 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Lawrence S Copeland Md Ltd 2804 Evening Rock St Las Vegas NV 89135-1631 Ph: (702) 767-2607 | Lawrence S Copeland Md Ltd 653 N Town Center Dr Suite 100 Las Vegas NV 89144-0514 Ph: (702) 686-3847 |
NPI Number | 1477683563 |
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Provider Enumeration Date | 03/07/2007 |
Last Update Date | 08/04/2008 |
Medicare PECOS PAC ID | 1254430606 |
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Medicare Enrollment ID | O20070626000146 |
Identifier | Type | State | Issuer |
---|---|---|---|
1477683563 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0300X | Internal Medicine - Geriatric Medicine | 4809 (Nevada) | Primary |
Provider Name | Lawrence S Copeland |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1790758886 PECOS PAC ID: 2860598349 Enrollment ID: I20070430000197 |
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