Basic Information
| Provider Information | |||||||||
| NPI: | 1457319709 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | LUPERTE | ||||||||
| FirstName: | ESTHERLOIDA | ||||||||
| MiddleName: | P | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8550 W DESERT INN RD | ||||||||
| Address2: | SUITE 102-134 | ||||||||
| City: | LAS VEGAS | ||||||||
| State: | NV | ||||||||
| PostalCode: | 891174401 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7029216829 | ||||||||
| FaxNumber: | 7029216828 | ||||||||
| Practice Location | |||||||||
| Address1: | 8280 W WARM SPRINGS RD | ||||||||
| Address2: | |||||||||
| City: | LAS VEGAS | ||||||||
| State: | NV | ||||||||
| PostalCode: | 891133612 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7029216829 | ||||||||
| FaxNumber: | 7029216828 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/03/2006 | ||||||||
| LastUpdateDate: | 07/21/2014 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 9731 | NV | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.