Individual
MRS. KIMBERLY ANNE LASSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD LMNT
Contact information
Practice address
6260 S 79TH ST, LINCOLN, NE 68516-3881
(402) 499-7424
Mailing address
6260 S 79TH ST, LINCOLN, NE 68516-3881
(402) 499-7424
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
927
NE
Other
Enumeration date
06/27/2015
Last updated
06/27/2015
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