Individual
LUAL GOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7200 S 84TH ST, LA VISTA, NE 68128-2115
(531) 999-2503
Mailing address
7200 S 84TH ST, LA VISTA, NE 68128-2115
(531) 999-2503
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
09/15/2025
Last updated
09/15/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us