Individual
AUDRA LOSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10036 IDORA ST, LA VISTA, NE 68128-4296
(402) 650-9222
Mailing address
10036 IDORA ST, LA VISTA, NE 68128-4296
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
886
NE
Other
Enumeration date
09/06/2015
Last updated
09/06/2015
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