Individual
MASON THOMAS LOVGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
16512 POPPLETON AVE, OMAHA, NE 68130-1356
(402) 740-0120
Mailing address
1440 S 158TH CIR, OMAHA, NE 68130-2523
(402) 740-0120
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
—
372600000X
Adult Companion
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
07/12/2025
Last updated
07/12/2025
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