DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LISA ELAINE AGNEW

Active Sole Proprietor

Specialist · LAS VEGAS, NV

Registration Details

NPI Number
1780873802
Provider Type
Individual
Gender
Female
NPI Issued
Oct 15, 2007 (18.515537952724 yrs)
Last Updated
Jun 9, 2011
License
NVMT.0766 (NV)
Sole Proprietor
Yes

Practice Information

Address
1049 S RAINBOW BLVD
LAS VEGAS, NV, 891456232
Browse NV providers · Browse ZIP 89145
Phone
7022740054
Primary Specialty
Specialist
174400000X

Other Specialist Providers in LAS VEGAS, NV

Name Credential NPI
DR. KEITH G BOMAN M.D. 1093719338
DR. JACK EBRAHIMPOUR ABRAMS M.D. 1780684571
DR. GREGORY K. BRYAN M.D. 1598765984
DR. JON L SIEMS M.D. 1528068640
DR. HANS-JORG W ROSLER M.D. 1457345845
MR. DANIEL J BROESKE M.D. 1013901750
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.