Provider Demographics
NPI:1811887953
Name:LAGRA TOIRAC, YAY
Entity type:Individual
Prefix:
First Name:YAY
Middle Name:
Last Name:LAGRA TOIRAC
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 1:1407 S NEWCASTLE RD
Mailing Address - Street 2:
Mailing Address - City:GRAND ISLAND
Mailing Address - State:NE
Mailing Address - Zip Code:68801-7015
Mailing Address - Country:US
Mailing Address - Phone:786-793-1596
Mailing Address - Fax:
Practice Address - Street 1:1407 S NEWCASTLE RD APT 107
Practice Address - Street 2:
Practice Address - City:GRAND ISLAND
Practice Address - State:NE
Practice Address - Zip Code:68801-7015
Practice Address - Country:US
Practice Address - Phone:786-793-1596
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-09
Last Update Date:2025-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant