Individual
LISA M COLE-MAILANDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5738 S 137TH ST, OMAHA, NE 68137-2965
(402) 813-4944
(402) 895-5025
Mailing address
5738 S 137TH ST, OMAHA, NE 68137-2965
(402) 813-4944
(402) 895-5025
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
62026
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03
—
NE
01
—
11997434
N-FOCUS/PASS
NE
01
—
TAX ID
COVENTRY MEDICAID
NE
Enumeration date
04/25/2011
Last updated
04/19/2012
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