Individual
LORA MARIE BOGATZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
5321 S 138TH ST, OMAHA, NE 68137-2913
(402) 895-4000
Mailing address
5321 S 138TH ST, OMAHA, NE 68137-2913
(402) 895-4000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
68707
NE
Other
Enumeration date
02/25/2019
Last updated
04/23/2019
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