Individual
LAWANA MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1805 N 73RD ST, OMAHA, NE 68114-1905
(402) 557-8583
Mailing address
9610 BINNEY ST, OMAHA, NE 68134-4611
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/16/2025
Last updated
10/16/2025
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