Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | MD8425 | NV |
N | 207ND0101X | MOHS-Micrographic Surgeon | MD8425 | NV |
NPI | 1013988260 |
---|---|
Provider Name | Dr. Lionel Julian Handler |
First Address | Las Vegas, NV 89144 |
Second Address | Las Vegas, NV 89144 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/01/2006 |
Last Update Date | 28/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
002019937 | (05) | NV |
990010823 | RAILROAD MEDICARE (01) | NV |
G23343 | (02) |