Individual
DR. ASHLEY LAUREL DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
909 N 96TH ST, SUITE 201, OMAHA, NE 68114-2497
(402) 330-4555
(402) 934-0945
Mailing address
909 N 96TH ST, SUITE 201, OMAHA, NE 68114-2497
(402) 330-4555
(402) 934-0945
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
25720
NE
390200000X
Student in an Organized Health Care Education/Training Program
5447
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025555000
—
NE
05
—
1700090024
—
IA
Enumeration date
05/09/2007
Last updated
02/26/2016
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