Individual
LAETH S NASIR
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
988095 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8095
(402) 559-9800
(402) 559-9840
Mailing address
1319 LEAVENWORTH ST, OMAHA, NE 68102-3215
(402) 717-0420
(402) 717-6042
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
18597
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47078557507
—
NE
Enumeration date
05/10/2006
Last updated
06/15/2016
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