Individual
STEPHANIE LIZANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6955 N DURANGO DR, #1109, LAS VEGAS, NV 89149-4411
(702) 544-6423
Mailing address
6955 N DURANGO DR, #1109, LAS VEGAS, NV 89149-4411
(702) 544-6423
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
07/01/2012
Last updated
07/01/2012
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