Individual
LISA ANNE DYRDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1211 N MONROE ST, PAPILLION, NE 68046-2045
(402) 637-7130
Mailing address
12018 S 49TH ST, PAPILLION, NE 68133-2893
(402) 637-7130
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
82004
NE
Other
Enumeration date
03/26/2018
Last updated
03/26/2018
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