Individual
BROCK LAKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
602 S 38TH AVE # 205, OMAHA, NE 68105-1104
(402) 599-9031
Mailing address
602 S 38TH AVE, OMAHA, NE 68105-1104
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/26/2026
Last updated
02/26/2026
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