Individual
LACI ANN KLEVELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
220 N 89TH ST STE 202, OMAHA, NE 68114-4072
(402) 502-5750
Mailing address
410 N 33RD ST, BEATRICE, NE 68310-3373
(402) 520-1986
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
25878
NE
Other
Enumeration date
02/17/2025
Last updated
02/17/2025
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