Individual
MS. KHADIJAH LETRELL LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L, CLT
Contact information
Practice address
2500 CALIFORNIA PLZ, OMAHA, NE 68178-0002
(402) 280-5528
Mailing address
2500 CALIFORNIA PLZ, OMAHA, NE 68178-0133
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2347
NE
Other
Enumeration date
06/30/2020
Last updated
06/30/2020
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