Individual
RUSSELL ELISHA LISCOMB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5525 HARTMAN AVE, OMAHA, NE 68104-1751
(402) 991-9709
Mailing address
15418 WEIR ST # 317, OMAHA, NE 68137-5045
(402) 991-9709
(402) 986-9699
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
08/20/2025
Last updated
08/20/2025
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