Individual
LISA HORST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10325 S 188TH ST, OMAHA, NE 68136-6456
(402) 332-5617
Mailing address
20905 SHILOH CIR, GRETNA, NE 68028-3986
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
60028
NE
Other
Enumeration date
02/27/2024
Last updated
02/27/2024
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