Individual
LISA LORRAINE MLNARIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
110 N 29TH ST, SUITE 301, NORFOLK, NE 68701-4424
(402) 844-8284
(402) 644-7505
Mailing address
51415 851ST RD, CLEARWATER, NE 68726-5273
(402) 340-0462
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
54950
NE
363L00000X
Nurse Practitioner
Primary
110462
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025561900
—
NE
Enumeration date
03/20/2007
Last updated
10/18/2012
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