| Dr. Pauly Lifestyle Medicine Pc | |
|
150 W Huffaker Ln Ste 103 Reno NV 89511-2098 | |
| (775) 260-9284 | |
| (702) 263-0609 |
| Full Name | Dr. Pauly Lifestyle Medicine Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 150 W Huffaker Ln Ste 103, Reno, Nevada |
| Authorized Official Name and Position | Quinn Pauly (OWNER/PROVIDER) |
| Authorized Official Contact | 7757004139 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Pauly Lifestyle Medicine Pc Po Box 7192 Reno NV 89510-7192 Ph: (775) 260-9284 | Dr. Pauly Lifestyle Medicine Pc 150 W Huffaker Ln Ste 103 Reno NV 89511-2098 Ph: (775) 260-9284 |
| NPI Number | 1477361137 |
|---|---|
| Provider Enumeration Date | 12/26/2024 |
| Last Update Date | 01/03/2025 |
| Medicare PECOS PAC ID | 5294255378 |
|---|---|
| Medicare Enrollment ID | O20250219002258 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477361137 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Quinn Pauly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609968395 PECOS PAC ID: 9537183223 Enrollment ID: I20060120000542 |
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