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NPI Code Detail

MEDICARE: LAKESHIA PAYNE

MEDICARE: LAKESHIA PAYNE
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
1372500000XChore ProviderNV
2372600000XAdult CompanionNV
33747A0650XAttendant Care ProviderNV
4376J00000XHomemakerNV
53747P1801XPersonal Care AttendantNV

General Provider Information

NPI Number : 1760981252
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAKESHIA PAYNE
Provider Business Mailing Address
First Line : 5812 WOOD PETAL ST
Second Line :
City : LAS VEGAS
State : NV
Zip : 89130-7053
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6725 S EASTERN AVE STE 1
Second Line :
City : LAS VEGAS
State : NV
Zip : 89119-3949
Country : US
Telephone Number : 702-331-6200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2018
Last Update Date : 02/09/2018

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Directions to “ LAKESHIA PAYNE ” 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.

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