Individual
LOLA JOANN COFFEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1811 W 2ND ST, GRAND ISLAND, NE 68803-5413
(308) 382-1884
Mailing address
16280 RIVERDALE RD, RIVERDALE, NE 68870-7061
(308) 440-1146
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
22345
NE
Other
Enumeration date
02/19/2025
Last updated
02/19/2025
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