DR. LASCHAVIO FULLER EDD
NPI 1659669687
Rehabilitation Practitioner in North Las Vegas, NV

Q: What is Laschavio Fuller's NPI number?

The NPI number for Laschavio Fuller is 1659669687. It was assigned to this individual provider in the NPPES registry on July 12, 2011.

Q: What is Laschavio Fuller's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

Q: When was this NPI record last updated?

The NPPES record for Laschavio Fuller was last updated on July 12, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 12, 2011

770 W LONE MOUNTAIN RD, 2077, NORTH LAS VEGAS, NV 89031(702) 540-0344(702) 331-0785 Get Directions Write a Review

NPPES record last updated: July 12, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Laschavio Fuller Edd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LASCHAVIO FULLER EDD (NPI 1659669687) is an individual rehabilitation practitioner in North Las Vegas, Nevada and active in the NPI registry since July 2011.

NPPES Registry Identity

NPI1659669687

Entity TypeIndividualFemale

Primary Taxonomy225400000X

Provider Legal NameDR. LASCHAVIO FULLERCredential: EDD

Location Address770 W LONE MOUNTAIN RD, 2077North Las Vegas, NV 89031-3008

Mailing Address770 W Lone Mountain Rd, 2077North Las Vegas, NV 89031-3008 · (702) 540-0344 · Fax (702) 331-0785

Phone(702) 540-0344

Fax(702) 331-0785

Sole ProprietorYes

Enumeration DateJuly 12, 2011

✔ NPI 1659669687 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code225400000X

Definition

A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

770 W LONE MOUNTAIN RD, North Las Vegas, NV 89031

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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. FELICIA THOMAS

Behavior Analyst

770 W LONE MOUNTAIN RD
NORTH LAS VEGAS, NV 89031

Clark County (702) 713-5124

JAVAREE BOLDEN

Rehabilitation Practitioner

770 W LONE MOUNTAIN RD
NORTH LAS VEGAS, NV 89031

Clark County (702) 427-2522

APRIL POWELL

Technician (Personal Care Attendant)

770 W LONE MOUNTAIN RD
N LAS VEGAS, NV 89031

Clark County (702) 559-2039

CARLOS MITCHELL GUTIERREZ

Rehabilitation Practitioner

770 W LONE MOUNTAIN RD, APT # 2128
NORTH LAS VEGAS, NV 89031

Clark County (702) 373-7159

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Laschavio Fuller's NPI number?

The NPI number for Laschavio Fuller is 1659669687. It was assigned to this individual provider in the NPPES registry on July 12, 2011.

Where is Laschavio Fuller located?

Laschavio Fuller practices at 770 W Lone Mountain Rd 2077, North Las Vegas, NV 89031. The listed phone number is (702) 540-0344.

What is Laschavio Fuller's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

When was this NPI record last updated?

The NPPES record for Laschavio Fuller was last updated on July 12, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.