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Individual

MR. RAYMOND RICHARD LINES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CO

Contact information

Practice address
4101 WOOLWORTH AVE, OMAHA, NE 68105-1850
(402) 995-4404
Mailing address
PO BOX 93, WESTON, NE 68070-0093
(402) 430-8711

Taxonomy

Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
CO003992

Other

Enumeration date
04/06/2017
Last updated
11/04/2019
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