Individual
LUCY AJUOGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11550 I ST, SUITE 100, OMAHA, NE 68137-1262
(402) 670-7090
Mailing address
11550 I ST, SUITE 100, OMAHA, NE 68137-1262
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
10088
NE
Other
Enumeration date
02/24/2014
Last updated
08/07/2017
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