Provider Demographics
NPI:1285928424
Name:MONTANO, LAKERSHA A (MSW)
Entity type:Individual
Prefix:
First Name:LAKERSHA
Middle Name:A
Last Name:MONTANO
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1216 9TH ST
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NM
Mailing Address - Zip Code:87701-4055
Mailing Address - Country:US
Mailing Address - Phone:505-425-8120
Mailing Address - Fax:505-426-0190
Practice Address - Street 1:1216 9TH ST
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NM
Practice Address - Zip Code:87701-4055
Practice Address - Country:US
Practice Address - Phone:505-425-8120
Practice Address - Fax:505-426-0190
Is Sole Proprietor?:No
Enumeration Date:2011-06-06
Last Update Date:2011-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker