Lagreta Willis
Technician, Personal Care Attendant in Las Vegas, NV. Individual provider (NPI-1).
NPI number1336788975
StatusActive
Last updated in NPPESDec 30, 2019
Details
- NPI
- 1336788975
- Entity type
- Individual (NPI-1)
- Name
- Lagreta Willis
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 30, 2019
- Certification date
- Dec 30, 2019
- Last updated
- Dec 30, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | – | Yes |
Practice location
4775 S Durango Dr Ste 101Las Vegas, NV 89147-8157
Phone 702-802-3585
Mailing address
4775 S Durango Dr Ste 101Las Vegas, NV 89147-8157
Phone 702-802-3585
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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