Provider Demographics
NPI:1821878844
Name:DUNCAN, DANA JANINE (LABORATORY ASSISTANT)
Entity Type:Individual
Prefix:
First Name:DANA
Middle Name:JANINE
Last Name:DUNCAN
Suffix:
Gender:F
Credentials:LABORATORY ASSISTANT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9000 LAS VEGAS BLVD S BLDG S
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89123-3367
Mailing Address - Country:US
Mailing Address - Phone:317-809-4536
Mailing Address - Fax:
Practice Address - Street 1:9000 LAS VEGAS BLVD S UNIT 1283
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89123-3376
Practice Address - Country:US
Practice Address - Phone:317-809-4536
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-05
Last Update Date:2023-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374700000XNursing Service Related ProvidersTechnician