Most Relevant Information
Provider Data
| NPI Number: | 1003524232 |
| Provider Name: | LACHAUNIECE BRENEE MCCARTY |
| Entity Type: | Individual |
| Taxonomy Code: | 3747P1801X |
| Specialty: | Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/07/2022 |
| Last Updated: | 11/07/2022 |
Provider Practice Location
7517 COBAL CANYON LN
LAS VEGAS
NV
891292903
Practice Location Phone/Fax
| Phone: | 7023390356 |
| Fax: |
Provider Mailing Location
7517 COBAL CANYON LN
LAS VEGAS
NV
891292903
Provider Mailing Phone/Fax
| Phone: | 7023390356 |
| Fax: |