Healthcare Provider Details

I. General information

NPI: 1568306587
Provider Name (Legal Business Name): ISAURA LAGUNAS TAMAYO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/18/2026
Last Update Date: 04/18/2026
Certification Date: 04/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6166 S SANDHILL RD STE 120
LAS VEGAS NV
89120-3216
US

IV. Provider business mailing address

6166 S SANDHILL RD STE 120
LAS VEGAS NV
89120-3216
US

V. Phone/Fax

Practice location:
  • Phone: 702-344-6862
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: