Individual
BROOK ANN LICHTENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
600 S 70TH ST, LINCOLN, NE 68510-2451
(402) 489-3802
Mailing address
600 S 70TH ST, LINCOLN, NE 68510-2451
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
110771
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025024300
—
NE
05
—
10025024400
—
NE
Enumeration date
09/26/2006
Last updated
04/19/2013
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