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DR. CARL LUEM M.D.

Other Service Providers Specialist

Provider NPI: 1619047008

Provider Information:
DR. CARL  LUEM M.D.
Gender: M
Not Sole Proprietor

Practice Location:
2365 REYNOLDS AVE  NORTH LAS VEGAS, NV 89030-7276 US
Tel: 702-916-3537  Fax: 702-444-7690

Business Mailing Address:
9260 W SUNSET RD STE. 200 LAS VEGAS, NV 89148-4858 US
Tel: 702-255-3547  Fax: 702-921-2419

NPI Information:
NPI: 1619047008
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N174400000XOther Service Providers
Specialist
CAC35009
N207Q00000XPhysicians
Family Medicine
NV14226
Y207VG0400XPhysicians
Obstetrics & Gynecology
NV14226
N207VX0000XPhysicians
Obstetrics & Gynecology
NV14226

Other Provider Identifiers:

IssuerNumberStateType
BNDD1389300984MO01
DEAAL6444955CA01
BLUE CROSS BLUE SHIELD49611011MO01
DEAAL6444955MO01
1619047008MO05



American Medical Association 2012 taxonomy code information

Code: 207VG0400X

Type:

Classification:



Definition:



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