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NPI Code Detail

MEDICARE: LASHON FREDRICKS

MEDICARE: LASHON FREDRICKS
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
1103K00000XBehavior Analyst
2332B00000XDurable Medical Equipment & Medical Supplies
3374J00000XDoula

General Provider Information

NPI Number : 1821421934
Entity Type Code : Individual
Provider Name (Legal Business Name) : LASHON FREDRICKS
Provider Business Mailing Address
First Line : 4780 W ANN RD STE 5-140
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89031-3470
Country : US
Telephone Number : 702-503-7079
Fax Number :
Provider Business Practice Location Address
First Line : 5028 DRIFTING CREEK AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89130-7098
Country : US
Telephone Number : 702-503-7079
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2013
Last Update Date : 04/17/2026

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Directions to “ LASHON FREDRICKS ” 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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