Individual
LUCAS RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
7500 MERCY RD, OMAHA, NE 68124-2319
(402) 689-8263
Mailing address
9912 EMMET ST, OMAHA, NE 68134-4512
(402) 689-8263
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
115914
NE
363LA2100X
Acute Care Nurse Practitioner
H183881
IA
Other
Enumeration date
04/22/2025
Last updated
04/22/2025
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