Provider Demographics
NPI:1013423912
Name:LAKIS-FRENCH, OLIVIA ANDONEA
Entity Type:Individual
Prefix:
First Name:OLIVIA
Middle Name:ANDONEA
Last Name:LAKIS-FRENCH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6827 ROLLING BOULDER ST
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89149-1649
Mailing Address - Country:US
Mailing Address - Phone:702-812-1085
Mailing Address - Fax:
Practice Address - Street 1:7224 FERN MEADOW ST
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89149-0154
Practice Address - Country:US
Practice Address - Phone:702-812-1085
Practice Address - Fax:702-812-1085
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-15
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Single Specialty