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Individual

LESYL LEMON BLANCAVER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
4445 S GRAND CANYON DR, LAS VEGAS, NV 89147-7127
(702) 920-3755
Mailing address
7314 ASPIRE CT, LAS VEGAS, NV 89113-1183
(702) 409-7828

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4654
NV

Other

Enumeration date
12/07/2021
Last updated
12/07/2021
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