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Individual

MRS. LISA LEE BERAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
45255 ROAD 800, ANSLEY, NE 68814-5120
(308) 750-9467
(308) 210-8810
Mailing address
45515 DRIVE 812, SARGENT, NE 68874-3140
(308) 325-2388

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1844
NE

Other

Enumeration date
03/18/2015
Last updated
03/06/2018
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