Provider Demographics
NPI:1689375081
Name:ALIGAEN, LEMUEL JOHN BORROMEO (CNA)
Entity Type:Individual
Prefix:
First Name:LEMUEL JOHN
Middle Name:BORROMEO
Last Name:ALIGAEN
Suffix:
Gender:M
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8678 NICHOLS AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89148-5377
Mailing Address - Country:US
Mailing Address - Phone:702-883-1055
Mailing Address - Fax:
Practice Address - Street 1:8678 NICHOLS AVE
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89148-5377
Practice Address - Country:US
Practice Address - Phone:702-883-1055
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-13
Last Update Date:2023-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV861870376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide