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Individual

LARONDA JEAN LUCAS-EKUNYEMI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2505 N 24TH ST, OMAHA, NE 68110-2252
(402) 451-5549
Mailing address
2505 NORTH 24TH ST, OMAHA, NE 68110
(402) 451-5549

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
19564
NE

Other

Enumeration date
04/11/2017
Last updated
04/11/2017
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