Individual
SUSAN DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5905 O ST, LINCOLN, NE 68510-2235
(402) 436-1000
Mailing address
5905 O ST, LINCOLN, NE 68510-2235
(402) 436-1000
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
—
NE
247200000X
Other Technician
—
—
Other
Enumeration date
07/29/2024
Last updated
07/29/2024
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