Individual
DR. AMANDA MARIE LAUSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2502 N 48TH ST, LINCOLN, NE 68504-3629
(402) 466-1424
Mailing address
2924 CHANNEL DR, LINCOLN, NE 68516-4985
(402) 630-2769
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12886
NE
183500000X
Pharmacist
20742
IA
Other
Enumeration date
10/19/2011
Last updated
10/19/2011
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