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Organization

LIFECHANGERS ACADEMY NORTHAMPTON LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAVIDA JEAN ANDERSON ANDERSON (CEO)
(402) 612-3318
Entity
Organization

Contact information

Practice address
5829 NORTHAMPTON BLVD, OMAHA, NE 68104-1289
(402) 612-3318
Mailing address
5829 NORTHAMPTON BLVD, OMAHA, NE 68104-1289
(402) 571-1473

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary

Other

Enumeration date
05/05/2026
Last updated
05/05/2026
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