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

Individual provider Diagnostic Radiology Physician · NPI 1578588588

Lisa Wong, MD is a Diagnostic Radiology in Las Vegas, Nevada. Graduated from University of Nevada School of Medicine in 2000, 26 years ago. Practices with Ellis Bandt Birkin Kollins and Wong PLLC, a 71-clinician group. Licensed in Nevada.

Years since qualifying
26
Trained at
University of Nevada School of Medicine
Licensed in
NV
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2020 Palomino Ln Ste 100
Las Vegas, NV 89106-4894
Phone: (702) 759-8600
Fax: (702) 384-1815
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 11698 (NV)

Record details

NPI number1578588588
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 12, 2006
Last updated in NPPESFebruary 10, 2015
Mailing address2020 Palomino Ln, 100, Las Vegas, NV 89106-4894

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolUNIVERSITY OF NEVADA SCHOOL OF MEDICINE
Graduated 2000 (26 years in practice)
Group practice Ellis Bandt Birkin Kollins And Wong Pllc — 71 clinicians
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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