Doctor Name: | DR. CAROLYN LAURICE JEFFERSON CORNELIUS |
NPI Number: | 1275772006 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 12973 |
Business Practice Address: | 3131 La Canada St Suite 241 Las Vegas, NV - 891692578 |
Business Phone Number: | 7026936870 |
Business Fax Number: | 7026936899 |
Mailing Address: | 2764 N Green Valley Pkwy, Suite 504 HENDERSON |
State: | NV |
Postal Code: | 890142120 |
Phone Number: | 7025281668 |
Fax Number: | 7029825672 |
NPI Enumeration Date: | 02/18/2009 |
NPI Last Update Date: | 07/14/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | 12973 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NV |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |