Individual provider · Type 1 NPI

Lisa Elaine Agnew

Specialist · Las Vegas, NV

NPI number 1780873802 Active

Practice location

1049 S Rainbow Blvd
Las Vegas, NV 89145-6232

Call (702) 274-0054 Map

Mailing address

PO Box 28254
Las Vegas, NV 89126-2254

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNVMT.0766 (NV)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1780873802

Lisa Elaine Agnew's National Provider Identifier is 1780873802, issued on Oct 15, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Las Vegas, NV. The record was last updated on Jun 9, 2011.