Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | 2566 | NV |
Y | 213EG0000X | General Practice | 2566 | NV |
NPI | 1003849746 |
---|---|
Provider Name | Lee Turner |
First Address | Las Vegas, NV 89169-2548 |
Second Address | Las Vegas, NV 89169-2548 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/07/2006 |
Last Update Date | 13/11/2012 |