Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 1323 | NV |
Y | 111NI0900X | Internist | 1323 | NV |
NPI | 1003091422 |
---|---|
Provider Name | Cherie Lin |
First Address | Henderson, NV 89014-2364 |
Second Address | Las Vegas, NV 89109-2218 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/01/2008 |
Last Update Date | 03/01/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
137658 | (02) |