Doctor Name: | LORRAINE E STEWART |
NPI Number: | 1023298791 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APN |
License Number: | APN00533 |
Business Practice Address: | 3490 Martin Luther King Blvd. Suite 105 N. Las Vegas, NV - 89032 |
Business Phone Number: | 7026423313 |
Business Fax Number: | |
Mailing Address: | 2002 Catalina Marie Ave, HENDERSON |
State: | NV |
Postal Code: | 890740608 |
Phone Number: | 7024544515 |
Fax Number: | |
NPI Enumeration Date: | 11/09/2007 |
NPI Last Update Date: | 11/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LW0102X |
License Number: | APN00533 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NV |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Women's Health |
Taxonomy Definition: |