SearchNevada1041C0700X

Genesis Lightbourne

NPI 1649543471 · on the registry since 2012

Practice

Address
3925 Martin Luther King B
Suite 212
North Las Vegas, NV 89032
Phone
(702) 503-9544

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
103K00000X
171M00000X
Licence states on file
NV
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-03-11

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