Individual
LISA SALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
4020 N 30TH ST, OMAHA, NE 68111-2975
(402) 451-8225
Mailing address
4020 N 30TH ST, OMAHA, NE 68111-2975
(402) 451-8225
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
60140
NE
Other
Enumeration date
09/28/2018
Last updated
10/04/2018
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