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Individual

LISA K KOLLASCH PARKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
17940 WELCH PLZ STE 106, OMAHA, NE 68135-3714
(402) 866-8625
Mailing address
17940 WELCH PLZ STE 106, OMAHA, NE 68135-3714
(402) 866-8625

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
110524
NE
363L00000X
Nurse Practitioner
Primary
A111561
IA
363LF0000X
Family Nurse Practitioner
110524
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0458653
IA
05
100251147-00
NE
01
236904
MIDLAND CHOICE FOR IOWA
IA
01
37715
WELLMARK FOR IOWA
IA
01
38588
BCBSNE FOR IOWA
IA
01
P00201286
RRMEDICARE FOR IOWA
IA
Enumeration date
05/12/2006
Last updated
05/15/2026
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