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NPI Code Detail

MEDICARE: LISA LAHENEY RN

MEDICARE:   LISA  LAHENEY  RN
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
1163W00000XRegistered Nurse850620NV
2163W00000XRegistered Nurse95271454CA

General Provider Information

NPI Number : 1790582526
Entity Type Code : Individual
Provider Name (Legal Business Name) : LISA LAHENEY RN
Provider Business Mailing Address
First Line : 1500 IRON SPRINGS DR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89144-6842
Country : US
Telephone Number : 530-391-8216
Fax Number :
Provider Business Practice Location Address
First Line : 1500 IRON SPRINGS DR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89144-6842
Country : US
Telephone Number : 530-391-8216
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/28/2025
Last Update Date : 02/28/2025

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Directions to “ LISA LAHENEY RN” Practice Location

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