Individual
AUDREY B BALLAYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
511 LAKESIDE DR APT 303, LINCOLN, NE 68528-1793
(402) 630-1275
Mailing address
511 LAKESIDE DR APT 303, LINCOLN, NE 68528-1793
(402) 630-1275
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
11/18/2025
Last updated
11/18/2025
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