MEDICARE: LUSA FITU

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	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1093549271
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LUSA FITU

Provider Business Mailing Address
First Line	:	7956 ANGEL TREE CT
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89147-4278
Country	:	US
Telephone Number	:	385-245-4219
Fax Number	:

Provider Business Practice Location Address
First Line	:	7956 ANGEL TREE CT
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89147-4278
Country	:	US
Telephone Number	:	385-245-4219
Fax Number	:

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

Provider Enumeration Date	:	08/29/2024
Last Update Date	:	08/29/2024

Similar Medicare Providers

1053353102 — ALBUQUERQUE VAMC
Practice Location Address:

624 UNIVERSITY AVE
LAS VEGAS, NM
87701-4278

Practice Phone: 702-341-3152
Practice Fax:

1942306790 — RESIDENTIAL CRF, INC
Practice Location Address:

624 UNIVERSITY AVE , SUITE 500
LAS VEGAS, NM
87701-4278

Practice Phone: 505-425-5429
Practice Fax: 505-425-5379

1225331853 — SHIRLEY HOLDEMAN
Practice Location Address:

4278 CARTEGENA WAY
LAS VEGAS, NV
89121-6504

Practice Phone: 702-283-3702
Practice Fax:

1508169137 — REGGIE ANDERSON
Practice Location Address:

4278 CARTEGENA WAY
LAS VEGAS, NV
89121-6504

Practice Phone: 702-433-6468
Practice Fax:

1548535008 — LEA CRUZ
Practice Location Address:

4278 CARTEGENA WAY
LAS VEGAS, NV
89121-6504

Practice Phone: 702-283-3702
Practice Fax:

1316386642 — PAULITO B NAPALAN
Practice Location Address:

4278 CARTEGENA WAY
LAS VEGAS, NV
89121-6504

Practice Phone: 702-283-3569
Practice Fax:

Directions to “ LUSA FITU ” 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 © 2007-2025 (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.