Provider Demographics
NPI:1699763201
Name:LAMERSON, CINDY LYNN (MD)
Entity type:Individual
Prefix:MRS
First Name:CINDY
Middle Name:LYNN
Last Name:LAMERSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:650 SIERRA ROSE DR
Mailing Address - Street 2:STE. #A
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89511-2081
Mailing Address - Country:US
Mailing Address - Phone:775-827-8100
Mailing Address - Fax:775-827-8835
Practice Address - Street 1:650 SIERRA ROSE DR
Practice Address - Street 2:STE. #A
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89511-2081
Practice Address - Country:US
Practice Address - Phone:775-827-8100
Practice Address - Fax:775-827-8835
Is Sole Proprietor?:No
Enumeration Date:2005-10-07
Last Update Date:2015-05-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NV8902207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV070013283OtherMEDICARE RAILROAD
NVV33777OtherMEDICARE GROUP ID
NVV33783Medicare PIN
NVG56689Medicare UPIN