Provider Demographics
NPI:1134541402
Name:CAMBELL, LENISE
Entity type:Individual
Prefix:
First Name:LENISE
Middle Name:
Last Name:CAMBELL
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 1:3463 DAPPLE DR
Mailing Address - Street 2:
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89032-2414
Mailing Address - Country:US
Mailing Address - Phone:702-426-1283
Mailing Address - Fax:
Practice Address - Street 1:3463 DAPPLE DR
Practice Address - Street 2:
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89032-2414
Practice Address - Country:US
Practice Address - Phone:702-426-1283
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-06
Last Update Date:2014-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker