Individual
LORRI LYNN DAVISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.P.R.N.
Contact information
Practice address
815 N KANSAS AVE, SUITE 100, HASTINGS, NE 68901-4470
(402) 460-5899
(402) 460-5619
Mailing address
1242 N TURNER AVE, HASTINGS, NE 68901-7669
(402) 463-7647
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
110672
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025662600
—
NE
01
—
245521
MIDLANDS CHOICE NUMBER
NE
01
—
37969
BC/BS
NE
Enumeration date
01/31/2006
Last updated
09/17/2008
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