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NPI Code Detail

MEDICARE: LISANDRA ALFONSO DIAZ

MEDICARE: LISANDRA ALFONSO DIAZ
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
13747P1801XPersonal Care AttendantNV

General Provider Information

NPI Number : 1932066503
Entity Type Code : Individual
Provider Name (Legal Business Name) : LISANDRA ALFONSO DIAZ
Provider Business Mailing Address
First Line : 625 N LAMB BLVD STE 130
Second Line :
City : LAS VEGAS
State : NV
Zip : 89110-6355
Country : US
Telephone Number : 702-331-0100
Fax Number :
Provider Business Practice Location Address
First Line : 625 N LAMB BLVD STE 130
Second Line :
City : LAS VEGAS
State : NV
Zip : 89110-6355
Country : US
Telephone Number : 702-331-0100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/06/2026
Last Update Date : 01/06/2026

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Directions to “ LISANDRA ALFONSO DIAZ ” Practice Location

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