SearchNevada225C00000X

Lavelle Jefferson

NPI 1407390248 · on the registry since 2016 · sole proprietor

Practice

Address
3540 N Hualapai Way
2023
Las Vegas, NV 89129
Phone
(702) 720-0904
Organisation at this address
H.E.R.O.S Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
225C00000X
225C00000X
Sex
Male
Record last updated
2016-12-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Nevada