Individual
LISA M. MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PCA, BST
Contact information
Practice address
3642 TWAIN CIR, LAS VEGAS, NV 89121-2940
(702) 401-9509
Mailing address
3642 TWAIN CIR, LAS VEGAS, NV 89121-2940
(702) 401-9509
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
12/22/2016
Last updated
12/22/2016
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