Individual
COOPER FERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4433 S 70TH ST STE 200, LINCOLN, NE 68516-4275
(402) 469-8779
Mailing address
PO BOX 157, STAPLEHURST, NE 68439-0157
(402) 469-8779
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
04/30/2026
Last updated
04/30/2026
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