Individual
LISA PATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
515 N 162ND AVE STE 102, OMAHA, NE 68118-2540
(402) 397-6600
Mailing address
16533 TIMBERLANE DR, OMAHA, NE 68136-3077
(308) 940-0132
Taxonomy
Speciality
Code
Description
License number
State
163WW0101X
Ambulatory Women's Health Care Registered Nurse
68469
NE
363LW0102X
Women's Health Nurse Practitioner
Primary
113700
NE
Other
Enumeration date
08/18/2021
Last updated
08/18/2021
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