person
Lisa Denise Sanford
Military Health Care Provider in Las Vegas, Nevada
NPI 1326521725

Lisa Denise Sanford is a Military Health Care Provider based in Las Vegas, NV. Lisa Denise Sanford practices in Las Vegas, NV. The NPI Number for Lisa Denise Sanford is 1326521725 and holds a License No. (Nevada).

The current practice location address for Lisa Denise Sanford is 2750 W Wigwam Ave Apt 2169, Las Vegas, NV and can be reached out via phone at 323-706-2161.

Location: 2750 W Wigwam Ave Apt 2169, Las Vegas, NV, 89123-6656
person
Provider Profile Details
NPI Number
1326521725
Provider Name
Lisa Denise Sanford
Credential
Provider Entity Type
Individual
Gender
Female
Address
2750 W Wigwam Ave Apt 2169, Las Vegas, NV, 89123-6656
Phone Number
323-706-2161
Fax Number
Provider Enumeration Date
09/11/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2750 W Wigwam Ave Apt 2169
City
State
Zip
89123-6656
Phone Number
323-706-2161
Fax Number
person
Provider Business Mailing Address Details
Address
2750 W Wigwam Ave Apt 2169
City
State
Zip
89123-6656
Phone Number
323-706-2161
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
License No.
()
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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