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NPI Code Detail

MEDICARE: LESHA LUCAS

MEDICARE: LESHA LUCAS
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
1225400000XRehabilitation Practitioner

General Provider Information

NPI Number : 1588082705
Entity Type Code : Individual
Provider Name (Legal Business Name) : LESHA LUCAS
Provider Business Mailing Address
First Line : 6948 DUNSBACH WAY APT B
Second Line :
City : LAS VEGAS
State : NV
Zip : 89156-6119
Country : US
Telephone Number : 888-906-9929
Fax Number : 888-892-3669
Provider Business Practice Location Address
First Line : 6948 DUNSBACH WAY APT B
Second Line :
City : LAS VEGAS
State : NV
Zip : 89156-6119
Country : US
Telephone Number : 888-906-9929
Fax Number : 888-892-3669
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2014
Last Update Date : 04/03/2014

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Directions to “ LESHA LUCAS ” Practice Location

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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.

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