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General NPI Number Information
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NPI Number | 1982219317
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Entity Type | Individual
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Provider Name | LAWANDA MICHELLE ALLEN
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Gender | Female
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Dates
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Enumeration Date | 09/11/2020
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Last Update Date | 11/19/2025
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Provider Practice Location Address
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Address Line | 1661 E FLAMINGO RD STE 5A
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City | LAS VEGAS
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State | NV
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Zip | 89119-5291
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Country | US
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Telephone | 702-275-5616
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 777447
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City | HENDERSON
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State | NV
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Zip | 89077-7447
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Country | US
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Telephone | 702-830-5325
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Fax | 702-830-4385
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 828367
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License Number State | NV
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