Individual
DR. LARRA RAE PETERSEN-LUKENDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
4101 WOOLWORTH AVE., VA NEBRASKA-WESTERN IOWA HEALTHCARE SYSTEM, OMAHA, NE 68105
(402) 995-4486
(402) 995-4562
Mailing address
4101 WOOLWORTH AVE., VA NEBRASKA-WESTERN IOWA HEALTHCARE SYSTEM, OMAHA, NE 68105
(402) 995-4486
(402) 995-4562
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
654
NE
Other
Enumeration date
10/12/2006
Last updated
03/14/2011
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