MEDICARE: LIZETH DURAN HERNANDEZ

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	2355S0801X	Speech-Language Assistant		NV

General Provider Information

NPI Number	:	1437096880
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LIZETH DURAN HERNANDEZ

Provider Business Mailing Address
First Line	:	2920 S RAINBOW BLVD STE 120
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89146-6214
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2920 S RAINBOW BLVD STE 120
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89146-6214
Country	:	US
Telephone Number	:	725-290-2915
Fax Number	:

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

Provider Enumeration Date	:	05/04/2026
Last Update Date	:	05/04/2026

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Directions to “ LIZETH DURAN HERNANDEZ ” Practice Location

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