Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YS0123X | Facial Plastic Surgeon | 1286 | NV |
NPI | 1114059698 |
---|---|
Provider Name | Dr. Paul Victor Lanfranchi |
First Address | Las Vegas, NV 89123-4851 |
Second Address | Las Vegas, NV 89123-4851 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/03/2007 |
Last Update Date | 15/02/2016 |