Provider Demographics
NPI:1306882683
Name:KRAWITT, LESTER NELSON (MD)
Entity type:Individual
Prefix:
First Name:LESTER
Middle Name:NELSON
Last Name:KRAWITT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 360001
Mailing Address - Street 2:MOFH/UROLOGY/3C
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89036-8108
Mailing Address - Country:US
Mailing Address - Phone:702-653-2791
Mailing Address - Fax:702-653-2790
Practice Address - Street 1:4700 N LAS VEGAS BLVD
Practice Address - Street 2:MOFH/3C
Practice Address - City:NELLIS AFB
Practice Address - State:NV
Practice Address - Zip Code:89191
Practice Address - Country:US
Practice Address - Phone:702-653-2791
Practice Address - Fax:702-653-2790
Is Sole Proprietor?:No
Enumeration Date:2006-06-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NV4498208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WCCGPMedicare ID - Type Unspecified