Most Relevant Information
Provider Data
| NPI Number: | 1003539446 |
| Provider Name: | JAREAH CROWDER LYONS |
| Entity Type: | Individual |
| Taxonomy Code: | 3747P1801X |
| Specialty: | Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/21/2022 |
| Last Updated: | 09/21/2022 |
Provider Practice Location
3365 WYNN RD STE F
LAS VEGAS
NV
891028202
Practice Location Phone/Fax
| Phone: | 7023314161 |
| Fax: | 7025431649 |
Provider Mailing Location
3365 WYNN RD STE F
LAS VEGAS
NV
891028202
Provider Mailing Phone/Fax
| Phone: | 7023314161 |
| Fax: | 7025431649 |