Individual
GATTHAK LUL PAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4715 S 132ND ST, OMAHA, NE 68137-1899
(402) 444-6500
Mailing address
11218 DECATUR PLZ APT 205, OMAHA, NE 68154-4556
(402) 444-6500
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
H13943597
NE
Other
Enumeration date
03/24/2026
Last updated
03/24/2026
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