Individual
MRS. JACKIE ANN LAKERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11717 SOUTH 216TH ST., GRETNA, NE 68028-4729
(402) 332-3265
(402) 408-2536
Mailing address
11717 S 216TH ST, GRETNA, NE 68028-4729
(402) 332-3265
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
36872
NE
Other
Enumeration date
02/05/2019
Last updated
01/31/2023
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