Individual
LISA M MARCINIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CST, CFA, OPA-C
Contact information
Practice address
2650 N TENAYA WAY, #301, LAS VEGAS, NV 89128-1102
(702) 878-0393
(702) 939-5014
Mailing address
2650 N TENAYA WAY, #301, LAS VEGAS, NV 89128-1102
(702) 878-0393
(702) 939-5014
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
081087
NATIONAL BOARD OF SURGICAL TECHNOLOGY & SURGICAL ASSISTING CERTIFICATE NUMBER
NV
Enumeration date
12/27/2011
Last updated
12/27/2011
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