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Individual

MRS. LAUREN MICHELLE DEVERE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
8303 DODGE ST, OMAHA, NE 68114-4199
(402) 354-4000
Mailing address
16641 FREDERICK CIR, OMAHA, NE 68130-2038
(402) 598-7876

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
113854
NE
363LF0000X
Family Nurse Practitioner
65858
NE

Other

Enumeration date
09/28/2021
Last updated
10/12/2021
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