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Individual

LESLEY K KLUG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
17201 WRIGHT ST STE 200, OMAHA, NE 68130-2042
(402) 334-4773
(402) 334-7463
Mailing address
PO BOX 241573, OMAHA, NE 68124-2346
(402) 393-3110
(402) 398-4499

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
111976
NE
363LA2100X
Acute Care Nurse Practitioner
NP8436
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
454770
REGISTERED NURSE
CA
Enumeration date
11/03/2006
Last updated
02/22/2018
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