Provider Demographics
NPI:1174601645
Name:TIRAO, LYNDA O (MD)
Entity type:Individual
Prefix:DR
First Name:LYNDA
Middle Name:O
Last Name:TIRAO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3585 S EASTERN AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89169-3344
Mailing Address - Country:US
Mailing Address - Phone:702-733-9300
Mailing Address - Fax:702-733-9580
Practice Address - Street 1:3585 S EASTERN AVE
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89169-3344
Practice Address - Country:US
Practice Address - Phone:702-733-9300
Practice Address - Fax:702-733-9580
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NV8221207RC0000X
HI6713207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease