LISA DENISE SANFORD


Address: 2750 W Wigwam Ave Apt 2169, Las Vegas, NV 89123-6656
Phone: 3237062161

LISA DENISE SANFORD (NPI# 1326521725) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326521725
Entity Type Individual
Full Name LISA DENISE SANFORD
Practice Address 2750 W Wigwam Ave Apt 2169
Las Vegas
NV 89123-6656
Practice Telephone 3237062161
Mailing Telephone 3237062161
Enumeration Date 2018-09-11
Last Update Date 2018-09-11
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171000000X Military Health Care Provider Other Service Providers

Other Providers LISA SANFORD

NPI Name Taxonomy Address Enumeration
1093150286 Lisa Sanford Doula 849 Elk St, Franklin, PA 16323-1156 2013-05-01
1770885121 Lisa Michelle Sanford Nurse Practitioner 618 County Road 5031, Booneville, MS 38829-9410 2010-11-17
1053531749 Lisa J Sanford Social Worker 69 Bellevue Ave # 1, Haverhill, MA 01832-4710 2007-04-26
1225188196 Lisa Ann Sanford Nurse Practitioner 3305 Sungate Blvd, Raleigh, NC 27610-2871 2007-01-11
1285723908 Lisa Sanford Physician Assistant 1367 Washington Ave, Suite 200, Albany, NY 12206-1043 2006-10-12
1265544670 Lisa T Sanford Social Worker 1 Freedom Way, Augusta, GA 30904-6258 2006-08-31

Office Location

Street Address 2750 W WIGWAM AVE APT 2169
City LAS VEGAS
State NV
Zip Code 89123-6656

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Taxonomy Information

Taxonomy Code 171000000X
Grouping Other Service Providers
Classification Military Health Care Provider

Taxonomy Definition

Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
Notes: [7/1/2005: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1760523070 James Mason Military Health Care Provider 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 2007-02-09

Competitor

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City LAS VEGAS
Zip Code 89123

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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