Individual
KASSIE A LUETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16901 LAKESIDE HILLS CT, OMAHA, NE 68130-2318
(855) 524-4001
(402) 717-7340
Mailing address
16901 LAKESIDE HILLS CT, OMAHA, NE 68130-2318
14023986255
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
112307
NE
363L00000X
Nurse Practitioner
H149417
IA
Other
Enumeration date
08/18/2017
Last updated
01/24/2018
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