Individual
LUCILLE R WOODARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7100 W CENTER RD, OMAHA, NE 68106-2714
(402) 506-9000
(402) 506-9093
Mailing address
7100 W CENTER RD, OMAHA, NE 68106-2714
(402) 506-9000
(402) 506-9093
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
23834
NE
207Q00000X
Family Medicine Physician
5304
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10028650200
—
NE
Enumeration date
07/11/2006
Last updated
05/20/2024
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