Individual
MIKAYLA LANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
109 E 2ND ST STE 11, NORTH PLATTE, NE 69101-5474
(402) 853-9553
Mailing address
2309 W 15TH ST, NORTH PLATTE, NE 69101-2130
(308) 539-2422
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
04/30/2025
Last updated
04/30/2025
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