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NPI Code Detail

MEDICARE: PATRICE LASHAE PORTERFIELD

MEDICARE: PATRICE LASHAE PORTERFIELD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1374700000XTechnician

General Provider Information

NPI Number : 1437761053
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICE LASHAE PORTERFIELD
Provider Business Mailing Address
First Line : 4636 SPITFIRE ST
Second Line :
City : LAS VEGAS
State : NV
Zip : 89115-2542
Country : US
Telephone Number : 702-787-9356
Fax Number :
Provider Business Practice Location Address
First Line : 7000 SPRING MOUNTAIN RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89117-3816
Country : US
Telephone Number : 702-873-2400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2020
Last Update Date : 08/17/2020

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Directions to “ PATRICE LASHAE PORTERFIELD ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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