Individual
LISA LEONARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10105 BANBURRY CROSS DR STE 445, LAS VEGAS, NV 89144-6645
(205) 259-3991
Mailing address
10105 BANBURRY CROSS DR STE 445, LAS VEGAS, NV 89144-6645
(205) 259-3991
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2670
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2670
PT LICENSE
NV
Enumeration date
09/08/2014
Last updated
09/08/2014
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