Individual
ERIC C LIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7500 MERCY RD, OMAHA, NE 68124-2319
(402) 398-6060
Mailing address
6350 CEDAR PLZ APT 206, OMAHA, NE 68106-2269
(773) 879-1246
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/03/2025
Last updated
02/03/2025
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