Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 8352 | NV |
NPI | 1003133711 |
---|---|
Provider Name | Randi E Lampert |
First Address | Las Vegas, NV 89128-6656 |
Second Address | Las Vegas, NV 89128-6656 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/04/2010 |
Last Update Date | 21/04/2010 |