Individual
LEI LOPEZ LAVARIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
6170 W LAKE MEAD BLVD, #294, LAS VEGAS, NV 89108
(702) 303-2503
Mailing address
6170 W LAKE MEAD BLVD, #294, LAS VEGAS, NV 89108
(702) 303-2503
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY0458
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2602228
—
NV
Enumeration date
09/01/2006
Last updated
07/08/2007
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