Individual
MS. TRACY KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
721 K ST, LINCOLN, NE 68508-2949
(402) 477-3951
Mailing address
721 K ST, LINCOLN, NE 68508-2949
(402) 477-3951
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
22980
NE
Other
Enumeration date
04/22/2011
Last updated
04/22/2011
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