Individual
LILIANNE J DRAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
501 S RANCHO DR, SUITE I-60, LAS VEGAS, NV 89106-4838
(702) 598-1622
(702) 598-1696
Mailing address
501 S RANCHO DR, SUITE I-60, LAS VEGAS, NV 89106-4838
(702) 598-1622
(702) 598-1696
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-357
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3402163
—
NV
Enumeration date
05/03/2007
Last updated
07/27/2012
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