Individual
LISA ANN BOEKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
626 N ST, LOUP CITY, NE 68853-8110
(308) 745-0780
(308) 745-0446
Mailing address
PO BOX 509, 626 N STREET, LOUP CITY, NE 68853-0509
(308) 745-0780
(308) 745-0446
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
46215
NE
Other
Enumeration date
06/27/2011
Last updated
06/27/2011
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