Individual
DR. LAUREN C LICITRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
42 ND AND EMILE ST, OMAHA, NE 68198-0001
(402) 559-4000
Mailing address
42 ND AND EMILE ST, OMAHA, NE 68198-0001
(402) 559-4000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
6989
NE
Other
Enumeration date
06/25/2013
Last updated
06/25/2013
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