Individual
LYDIA ANN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2129 N 189TH ST, ELKHORN, NE 68022-1504
(402) 651-1878
Mailing address
16321 LARIMORE CIR, OMAHA, NE 68116-4085
(308) 920-1384
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
02/21/2025
Last updated
02/21/2025
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