Individual
LISA SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4180 S PECOS RD, LAS VEGAS, NV 89121-5074
(702) 486-7588
Mailing address
4180 S PECOS RD, LAS VEGAS, NV 89121-5074
(702) 486-7588
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/17/2015
Last updated
02/17/2015
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