Provider Demographics
NPI:1861383093
Name:MUN, LISA ABUK
Entity type:Individual
Prefix:
First Name:LISA
Middle Name:ABUK
Last Name:MUN
Suffix:
Gender:X
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10120 S EASTERN AVE STE 207
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89052-3926
Mailing Address - Country:US
Mailing Address - Phone:702-677-3086
Mailing Address - Fax:
Practice Address - Street 1:10120 S EASTERN AVE STE 207
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89052-3926
Practice Address - Country:US
Practice Address - Phone:702-677-3086
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-15
Last Update Date:2025-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant