Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 45479 | AZ |
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 14735 | NV |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 45479 | AZ |
NPI | 1205034832 |
---|---|
Provider Name | Lawrence Richard Huff JR. |
First Address | Las Vegas, NV 89121-3609 |
Second Address | Las Vegas, NV 89121-3609 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/07/2007 |
Last Update Date | 09/10/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1205034832 | (05) | NV |
686295 | (05) | AZ |