Individual
LORI GRUTTMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4700 GILES RD, OMAHA, NE 68157-2699
(531) 299-2541
(531) 299-2578
Mailing address
4700 GILES ROAD, OMAHA, NE 68133-2699
(531) 299-2541
(531) 299-2578
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
40663
NE
163WS0200X
School Registered Nurse
Primary
40663
NE
Other
Enumeration date
10/01/2018
Last updated
10/04/2018
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