Individual
MS. BEVERLY FLEECS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
7121 A ST, SUITE #202, LINCOLN, NE 68510-4202
(402) 486-3937
Mailing address
7121 A ST, SUITE #202, LINCOLN, NE 68510-4202
(402) 486-3937
Taxonomy
Speciality
Code
Description
License number
State
156FC0801X
Contact Lens Fitter
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47082706800
—
NE
Enumeration date
10/13/2005
Last updated
07/08/2007
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