MEDICARE: LEI LOPEZ LAVARIAS PSYD

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
1	103TC0700X	Clinical Psychologist	PY0458	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1871695775
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LEI LOPEZ LAVARIAS PSYD

Provider Business Mailing Address
First Line	:	6170 W LAKE MEAD BLVD
Second Line	:	#294
City	:	LAS VEGAS
State	:	NV
Zip	:	89108
Country	:	US
Telephone Number	:	702-303-2503
Fax Number	:

Provider Business Practice Location Address
First Line	:	6170 W LAKE MEAD BLVD
Second Line	:	#294
City	:	LAS VEGAS
State	:	NV
Zip	:	89108
Country	:	US
Telephone Number	:	702-303-2503
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/01/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1760320808 — LAS VEGAS GROUP HOME AT LAKE MEAD
Practice Location Address:

5399 W LAKE MEAD BLVD
LAS VEGAS, NV
89108-3051

Practice Phone: 702-806-5947
Practice Fax:

1952004632 — KATHLYNE LEWIS
Practice Location Address:

5900 MARTITA AVE
LAS VEGAS, NV
89108-2478

Practice Phone: 702-544-6826
Practice Fax:

1184572760 — MARIAH DANELL BORGNA QMHA
Practice Location Address:

2901 N RAINBOW BLVD APT 2054
LAS VEGAS, NV
89108-4555

Practice Phone: 661-855-9399
Practice Fax:

1902626211 — CAITLIN AOLANI RUBY PATEY
Practice Location Address:

6444 SAPPHIRE ST
LAS VEGAS, NV
89108-5652

Practice Phone: 571-263-6363
Practice Fax:

1134077902 — MELISSA Y BERRELLEZA
Practice Location Address:

6353 PLAZA VERDE PL
LAS VEGAS, NV
89108-3948

Practice Phone: 702-333-1488
Practice Fax:

1588818207 — RACHAEL ANN TAYLOR NURSE PRACTITIONER
Practice Location Address:

3129 N RAINBOW BLVD
LAS VEGAS, NV
89108-4578

Practice Phone: 725-220-8457
Practice Fax: 833-749-0356

1679428593 — ANDREA SZOMMER
Practice Location Address:

2490 MAVERICK ST
LAS VEGAS, NV
89108-3824

Practice Phone: 702-799-1883
Practice Fax:

Directions to “ LEI LOPEZ LAVARIAS PSYD” Practice Location

Language	Start Address	Practice Location

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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.