Individual
LAURA LEE COLVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8108 S 166TH ST, OMAHA, NE 68136-3158
(712) 308-1494
Mailing address
8108 S 166TH ST, OMAHA, NE 68136-3158
(712) 308-1494
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
02/03/2025
Last updated
02/03/2025
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