Individual
LAURA T SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4305 O ST, LINCOLN, NE 68510-1754
(402) 488-2122
Mailing address
5330 R ST APT 3, LINCOLN, NE 68504-3445
(847) 977-6098
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
21158
NE
Other
Enumeration date
01/10/2022
Last updated
01/10/2022
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