Individual
MRS. LISA WYRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5905 O ST, LINCOLN, NE 68510-2235
(402) 436-1950
Mailing address
5127 DISBROW CT, LINCOLN, NE 68516-4240
(402) 436-1905
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
280
NE
Other
Enumeration date
08/17/2015
Last updated
08/17/2015
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