Individual
MRS. NICOLE DIANE KOZAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1904 LINCOLN AVE TRLR 33, PLATTSMOUTH, NE 68048-2610
(402) 296-0669
Mailing address
1904 LINCOLN AVE TRLR 33, PLATTSMOUTH, NE 68048-2610
(402) 296-0669
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
20789
NE
Other
Enumeration date
06/21/2007
Last updated
07/08/2007
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