Individual
DR. LISA RENEE BLANKENAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
5945 S 56TH ST, SUITE 101, LINCOLN, NE 68516-3394
(402) 423-9303
(402) 423-5662
Mailing address
5945 S 56TH ST, SUITE 101, LINCOLN, NE 68516-3394
(402) 423-9303
(402) 423-5662
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
437
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100251111-00
—
NE
Enumeration date
01/23/2007
Last updated
07/09/2007
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