Lynda Gallagher
Individual provider Active NPI Driver · Las Vegas, NV
NPI 1639626278 · NPPES record last updated Sep 1, 2016
Key facts
- NPI
- 1639626278
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Driver 172A00000X
- License
- NV20111087895 (NV)
- Practice address
- 5171 Georgetown Cove CT
Las Vegas, NV 89131 - Phone
- (702) 429-3672
- Fax
- (702) 202-0040
- NPI assigned
- Sep 1, 2016
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NV20111087895 | NV | MD | Driver |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Above and Beyond Care, LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | NV20111087895 | NV | Yes |
Addresses
Primary practice location
5171 Georgetown Cove CT
Las Vegas, NV 89131
Mailing address
5171 Georgetown Cove CT
Las Vegas, NV 89131-5253
Phone (702) 429-3672
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 1, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.