Individual
LAWRA LANDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9089 S PECOS RD, HENDERSON, NV 89074-7183
(702) 680-1526
Mailing address
3376 S EASTERN AVE STE 160, LAS VEGAS, NV 89169-3388
(702) 490-9009
(866) 737-6147
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/11/2021
Last updated
09/17/2021
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