Individual
TRACI LEA GILLISPIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6400 CORNHUSKER HWY, LINCOLN, NE 68507-3123
(402) 217-2194
Mailing address
6400 CORNHUSKER HWY, LINCOLN, NE 68507-3123
(402) 217-2194
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
18770
NE
Other
Enumeration date
03/10/2025
Last updated
03/10/2025
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