29D2007779 CLIA NUMBER - NORTHERN NEVADA ENDOCRINOLOGY LISA G ABBOTT MD

Laboratory Demographics

CLIA Number: 29D2007779

Facility Name: NORTHERN NEVADA ENDOCRINOLOGY LISA G ABBOTT MD

Facility Address:
665 SIERRA ROSE DR
RENO, NV
ZIP 89511
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Facility Phone Number: 775 786-6770

Facility Type: Practitioner Other

Certificate Type: Waiver

NPI Number: 1295144558

Taxonomy: 111N00000X - Chiropractor
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

CLIA Record

Field Name Field Value
CLIA Number 29D2007779
LAB Type Practitioner Other
Facility Name NORTHERN NEVADA ENDOCRINOLOGY LISA G ABBOTT MD
Street 665 SIERRA ROSE DR
City RENO
State NV
ZIP 89511
Phone 775 786-6770
CertificateType 4
CertificateEffectiveDate 5/25/2022
CertificateExpirationDate 5/24/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024