Individual
DR. AMANDA M LISCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
10109 MAPLE ST, OMAHA, NE 68134-5554
(402) 572-3500
(402) 572-3505
Mailing address
10109 MAPLE ST, OMAHA, NE 68134-5554
(402) 572-3500
(402) 572-3505
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2410
NE
Other
Enumeration date
06/21/2018
Last updated
08/05/2022
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