Individual
LOLALI MESSAN WOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4980 S 118TH ST, OMAHA, NE 68137-2200
(402) 896-3884
Mailing address
7155 N 82ND AVE, OMAHA, NE 68122-1484
(402) 208-0810
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
74056
NE
Other
Enumeration date
05/04/2017
Last updated
05/04/2017
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