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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. LARS DOUGLAS ENSIGN, MD

Active

DR. LARS DOUGLAS ENSIGN, MD is a Emergency Medicine healthcare provider located in SOUTH LAKE TAHOE, California. NPI 1750389862 is currently active in the NPPES registry. Verify at CMS.

Emergency Medicine · SOUTH LAKE TAHOE, CA

Registration Details

NPI Number
1750389862
Provider Type
Individual
Gender
Male
NPI Issued
Jul 12, 2005 (20.908522164232 yrs)
Last Updated
Mar 17, 2018
Licenses
9855 (NV)
A75593 (CA)

Practice Information

Address
2170 SOUTH AVE
SOUTH LAKE TAHOE, CA, 961507026
Browse CA providers · Browse ZIP 96150
Phone
5305413420
Primary Specialty
Emergency Medicine
207P00000X
Additional Specialty
Emergency Medicine

Other Emergency Medicine Providers in SOUTH LAKE TAHOE, CA

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.