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Individual

LISA E STAUDT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.C.

Contact information

Practice address
1225 PAPILLION DR, PAPILLION, NE 68046-5708
(402) 593-9930
(402) 593-0310
Mailing address
7808 MAUI CIR, PAPILLION, NE 68046-5644
(402) 339-8188
(402) 593-0310

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1152
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
36690
BCBS
NE
01
440088
UNITED HEALTH CARE
NE
Enumeration date
01/20/2006
Last updated
06/03/2008
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