Individual
LYNN WELBORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5619 S 19TH ST, OMAHA, NE 68107-3601
(531) 299-2421
Mailing address
5619 S 19TH ST, OMAHA, NE 68107-3601
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
53300
NE
Other
Enumeration date
10/18/2018
Last updated
10/18/2018
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