Individual
MRS. LISA NICOLE BOGAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12602 AMES PLZ APT 206, OMAHA, NE 68164-1891
(614) 817-4536
Mailing address
12602 AMES PLZ APT 20612602, OMAHA, NE 68164-1889
(614) 817-4536
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
03/10/2025
Last updated
03/10/2025
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