Individual
SALLY HOMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1336 W A ST, LINCOLN, NE 68522-1231
(402) 314-3399
Mailing address
1511 GRAFTON DR, LEXINGTON, NE 68850-1115
(308) 325-3257
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/27/2023
Last updated
08/31/2023
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