| Lisa Douglas, | |
|
7464 W Sahara Ave, Las Vegas, NV 89117-2740 | |
| (702) 270-6822 | |
| Not Available |
| Full Name | Lisa Douglas |
|---|---|
| Gender | Female |
| Speciality | Counselor |
| Location | 7464 W Sahara Ave, Las Vegas, Nevada |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376762914 | NPI | - | NPPES |
| 10511742 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Douglas, Po Box 401151, Las Vegas, NV 89140-1151 Ph: (702) 270-6822 | Lisa Douglas, 7464 W Sahara Ave, Las Vegas, NV 89117-2740 Ph: (702) 270-6822 |
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