Nick Lucas

Individual provider Active NPI Personal Care Attendant · Laughlin, NV

NPI 1154178671 · NPPES record last updated May 2, 2024

Key facts

NPI
1154178671
Entity type
Individual (NPI type 1)
Primary specialty
Personal Care Attendant 3747P1801X
Practice address
3300 S Needles Hwy Apt 21
Laughlin, NV 89029-0159
Phone
(559) 339-8752
NPI assigned
May 2, 2024
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X Yes

Addresses

Primary practice location

3300 S Needles Hwy Apt 21
Laughlin, NV 89029-0159

Mailing address

3300 S Needles Hwy Apt 21
Laughlin, NV 89029-0159
Phone (559) 339-8752

Other providers in Laughlin, NV

All providers in Laughlin, NV · Personal Care Attendant in Nevada

Sources for this page

Verify at the official NPI Registry.