Individual
ELIZABETH A MENICUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
8900 W DODGE RD, OMAHA, NE 68114-3302
(402) 390-0100
(402) 390-2711
Mailing address
8900 W DODGE RD, OMAHA, NE 68114-3302
(402) 390-0100
(402) 390-2711
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1145
NE
Other
Enumeration date
08/16/2007
Last updated
08/16/2007
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