Individual
JEANNE M LAIBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
110 W 2ND ST, STUART, NE 68780-0110
(402) 924-3777
(402) 924-3776
Mailing address
PO BOX 70, STUART, NE 68780-0070
(402) 924-3777
(402) 924-3776
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
712
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013967223
—
NE
Enumeration date
05/10/2006
Last updated
07/03/2024
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