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Individual

EVIN LACKORE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
UNMC PEDIATRICS RESIDENCY PROGRAM, 982185 NEBRASKA MEDICAL CENTER, OMAHA, NE 68198
(402) 559-5380
Mailing address
7045 S HARRISON HILLS DR APT 208, LA VISTA, NE 68128-7709
(402) 631-3689

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
7646
NE

Other

Enumeration date
06/14/2016
Last updated
06/14/2016
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