Individual
LEWIS ROOSEVELT WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5511 N 69TH ST, OMAHA, NE 68104-1508
(531) 389-8569
Mailing address
5511 N 69TH ST, OMAHA, NE 68104-1508
(531) 389-8569
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
NE
372600000X
Adult Companion
—
NE
Other
Enumeration date
06/28/2025
Last updated
06/28/2025
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