Individual
LISA YAVETTE LOWERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CACDI 02137-L
Contact information
Practice address
3920 W CHARLESTON BLVD STE O, LAS VEGAS, NV 89102-1633
(702) 478-5541
Mailing address
3583 SPRING SHOWER DR, LAS VEGAS, NV 89147-3733
(206) 245-0775
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
02137-L
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02137-L
—
NV
Enumeration date
09/13/2018
Last updated
09/13/2018
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