Lyna Benhacine

Key facts

NPI

1629536636

Entity type

Individual (NPI type 1)

Primary specialty

Electroneurodiagnostic Specialist/Technologist 246ZE0600X

Practice address

9811 W Charleston Blvd # 2-641
Las Vegas, NV 89117-7528

Phone

(855) 864-4322

NPI assigned

Mar 8, 2019

Sex

Female

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

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 8, 2019.

{
    "created_epoch": "1552003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552003200000",
    "number": "1629536636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 W SHERIDAN RD APT 406",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606133295",
            "telephone_number": "214-679-0638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9811 W CHARLESTON BLVD # 2-641",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891177528",
            "telephone_number": "855-864-4322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENHACINE",
        "first_name": "LYNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-08",
        "last_updated": "2019-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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