Provider Demographics
NPI:1740155019
Name:ARAKELYAN, LIDA
Entity type:Individual
Prefix:
First Name:LIDA
Middle Name:
Last Name:ARAKELYAN
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 1:3400 W DESERT INN RD STE 16
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89102-8355
Mailing Address - Country:US
Mailing Address - Phone:702-279-4108
Mailing Address - Fax:
Practice Address - Street 1:3153 MEDITERRANEAN DR
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89117-2333
Practice Address - Country:US
Practice Address - Phone:702-443-5074
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-07
Last Update Date:2025-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant