Individual
ZACHARY ALLEN LABS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
16901 LAKESIDE HILLS CT, OMAHA, NE 68130-2318
(402) 717-8111
Mailing address
3618 S 91ST ST, OMAHA, NE 68124-3806
(402) 206-4142
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2447
NE
Other
Enumeration date
02/07/2020
Last updated
02/07/2020
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