Individual
LORI JEAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
835 S BURLINGTON AVE STE 108, HASTINGS, NE 68901-6928
(402) 469-7711
(402) 461-5099
Mailing address
203 CREST RD, PAPILLION, NE 68046-2504
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
111110
NE
Other
Enumeration date
01/29/2010
Last updated
01/29/2010
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