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Individual

KRIS LAUSTERER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
11110 FORT ST, OMAHA, NE 68164-2183
(402) 932-0703
Mailing address
11925 S 53RD ST, PAPILLION, NE 68133-4753

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
01926
IA
225100000X
Physical Therapist
Primary
1815
NE

Other

Enumeration date
09/04/2014
Last updated
03/09/2016
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