Individual
LEXUS STAGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3656 N RANCHO DR, LAS VEGAS, NV 89103
(702) 809-5484
Mailing address
7340 W RUSSELL RD, LAS VEGAS, NV 89113-0771
(702) 809-5484
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/30/2017
Last updated
08/30/2017
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