Individual
MRS. LISA MONIQUE MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3131 LA CANADA ST STE 140, LAS VEGAS, NV 89169-2579
(702) 933-9400
(702) 933-9444
Mailing address
6355 S BUFFALO DR FL 3, LAS VEGAS, NV 89113-2133
(702) 216-3346
(702) 671-6883
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
MA001691L
PA
363AM0700X
Medical Physician Assistant
Primary
PA2289
NV
Other
Enumeration date
04/16/2007
Last updated
11/03/2022
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