| Lisa Haworth Md | |
|
2482 W Horizon Ridge Pkwy Suite 110 Henderson NV 89052-2728 | |
| (702) 719-6003 | |
| Not Available |
| Full Name | Lisa Haworth Md |
|---|---|
| Speciality | Family Medicine |
| Location | 2482 W Horizon Ridge Pkwy, Henderson, Nevada |
| Authorized Official Name and Position | Lisa Haworth (PRESIDENT) |
| Authorized Official Contact | 7027196003 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Haworth Md 2482 W Horizon Ridge Pkwy Suite 110 Henderson NV 89052-2728 Ph: (702) 719-6003 | Lisa Haworth Md 2482 W Horizon Ridge Pkwy Suite 110 Henderson NV 89052-2728 Ph: (702) 719-6003 |
| NPI Number | 1104942598 |
|---|---|
| Provider Enumeration Date | 03/21/2007 |
| Last Update Date | 06/02/2014 |
| Medicare PECOS PAC ID | 8325271554 |
|---|---|
| Medicare Enrollment ID | O20140423002298 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104942598 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 9035 (Nevada) | Primary |
| Provider Name | Lisa Haworth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346225976 PECOS PAC ID: 7810968641 Enrollment ID: I20040804000876 |
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