NPI 1073619359

Centennial Medical Group LLP

Organisation Interventional Pain Medicine Physician Las Vegas, NV

Practice location

Address: 4454 N Decatur Blvd, Las Vegas, NV 89130
Phone: (702) 507-0996
Fax: (702) 507-0992
Mailing address: 4454 N Decatur Blvd, Las Vegas, NV 89130-5286

Authorised official

Name: David Lanzkowsky
Title: Owner
Phone: (702) 839-1203

Registered specialties

Interventional Pain Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208VP0014X

Other Pain Medicine providers in Nevada →

Registry record

NPI: 1073619359
Entity type: Organization
NPI issued: 15 Sep 2006
Record last updated: 23 Aug 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.