MEDICARE: MCQ LYMPHCARE

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	225X00000X	Occupational Therapist

General Provider Information

NPI Number	:	1669182242
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MCQ LYMPHCARE

Provider Business Mailing Address
First Line	:	8465 W SAHARA AVE STE 111777
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-8960
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	105 N PECOS RD STE 105
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89074-1995
Country	:	US
Telephone Number	:	702-701-0057
Fax Number	:

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	CHLOE PEYTON
Credential	:
Telephone Number	:	702-701-0057

Provider Enumeration Date	:	12/05/2022
Last Update Date	:	02/26/2024

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Directions to “MCQ LYMPHCARE ” Practice Location

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