Individual
MARIAH KATE LANUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5801 HIDCOTE DR, LINCOLN, NE 68516-5568
(402) 665-4687
Mailing address
11952 N 143RD ST, WAVERLY, NE 68462-1165
(531) 739-7107
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
161696
NE
Other
Enumeration date
06/30/2025
Last updated
06/30/2025
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