Individual
MRS. LORI ANN BOUDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3215 CUMING ST, OMAHA, NE 68131-2000
(402) 827-4362
Mailing address
3215 CUMING ST, OMAHA, NE 68131-2000
(402) 827-4362
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
48404
NE
Other
Enumeration date
09/17/2018
Last updated
09/17/2018
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