Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | 7559 | NV |
NPI | 1659593325 |
---|---|
Provider Name | Dr. Carol Lynn Barlow |
First Address | Las Vegas, NV 89129 |
Second Address | Las Vegas, NV 89129 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/05/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G15971 | (02) | NV |