Individual
LISA A HAVERMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
8002 S 84TH ST, LA VISTA, NE 68128-3307
(402) 331-6444
(402) 331-9080
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2222
(630) 759-9510
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3748
NE
Other
Enumeration date
08/24/2017
Last updated
08/24/2017
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