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Kristin Anne Laxalt

Family Medicine

Allopathic & Osteopathic Physicians

1260 Nevada Pacific Blvd, Fernley, NV 89408-9871

PECOS Enrollment

This provider is enrolled in PECOS as KRISTIN LAXALT.

Based on the most recent information from CMS, provider Kristin Anne Laxalt is legally eligible to order and refer claims for DME and PMD services only.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 9:30 AM.

Profile Details

Provider ID
1346442688
Provider Type
Individual
Full Name
Laxalt, Kristin Anne
Credential
M.D.

Gender
Female
Sole Proprietor
No
Enumeration Date
5/31/2007
Last Updated
3/24/2021

Contact Information

Practice Location

1260 Nevada Pacific Blvd, Fernley, NV 89408-9871

(775) 575-7171

(775) 575-7227

Mailing Location

1260 Nevada Pacific Blvd, Fernley, NV 89408-9871

(775) 575-7171

(775) 575-7227

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License 5951 Nevada

Kristin Anne Laxalt

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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Vanhorn, John W

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