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NPI Code Detail

MEDICARE: LILLIA DEXTER

MEDICARE: LILLIA DEXTER
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1457928863
Entity Type Code : Individual
Provider Name (Legal Business Name) : LILLIA DEXTER
Provider Business Mailing Address
First Line : 4570 S EASTERN AVE STE 26
Second Line :
City : LAS VEGAS
State : NV
Zip : 89119-6183
Country : US
Telephone Number : 702-576-2753
Fax Number :
Provider Business Practice Location Address
First Line : 1820 E WARM SPRINGS RD STE 140
Second Line :
City : LAS VEGAS
State : NV
Zip : 89119-4593
Country : US
Telephone Number : 702-779-3956
Fax Number : 702-779-3957
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2021
Last Update Date : 01/26/2026

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Directions to “ LILLIA DEXTER ” Practice Location

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