Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dalton Laut, PA

Individual provider Physician Assistant · NPI 1619542099

Dalton Laut, PA is a Physician Assistant in Henderson, Nevada. Qualified in 2020, 6 years ago. Works from 4 locations.

Years since qualifying
6
In the registry since
2021
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1505 Wigwam Pkwy Ste 330
Henderson, NV 89074-8195
Phone: (702) 878-0393
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 801 S Rancho Dr Ste F1, Las Vegas, NV 89106-3814 — (702) 474-4454
  • Elk Point Circle, Las Vegas, NV 89147 — (610) 428-5896
  • 4440 Elk Point Cir, Las Vegas, NV 89147-6205 — (610) 428-5896

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1619542099
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 26, 2021
Last updated in NPPESDecember 20, 2022
Certification dateDecember 20, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated

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