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Individual

MRS. ARICA AMANDA ELIZABETH LERDAHL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1523 N 52ND ST, OMAHA, NE 68104-5012
(402) 214-5502
Mailing address
1523 N 52ND ST, OMAHA, NE 68104-5012
(402) 214-5502

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
NE

Other

Enumeration date
07/14/2022
Last updated
02/09/2024
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