Individual
LAKEDRA WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8021 BROKEN SPUR LN, LAS VEGAS, NV 89131-4511
(318) 514-9543
Mailing address
3540 N HUALAPAI WAY, 2023, LAS VEGAS, NV 89129-4062
(318) 514-9543
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
06/21/2016
Last updated
01/13/2020
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