Lawrence J Abramson, M.D.
Individual provider Active NPI Dermatology Physician · North Las Vegas, NV
NPI 1891766903 · NPPES record last updated Jul 8, 2024
Key facts
- NPI
- 1891766903
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dermatology Physician 207N00000X
- License
- E4161 (TX)
- Practice address
- 6900 N Pecos Rd
North Las Vegas, NV 89086-4400 - Phone
- (702) 791-9000
- NPI assigned
- Jan 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E4161 | TX | MD | Dermatology Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | E4161 | TX | Yes |
Addresses
Primary practice location
6900 N Pecos Rd
North Las Vegas, NV 89086-4400
Mailing address
5427 Rottweiler CT
Las Vegas, NV 89131-2747
Phone (870) 776-8003
Other practice location 1
10244 Regal Oaks Dr Apt D
Dallas, TX 75230-4958
Phone (870) 532-3802
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103493001 | Medicaid | AR |
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2024. 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.