Individual
LISA D FREEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3772 43RD AVE STE B, COLUMBUS, NE 68601-1681
(605) 335-1952
Mailing address
PO BOX 3592, OMAHA, NE 68103-0592
(605) 335-1952
(605) 373-9971
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
100512
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36435
BCBS
NE
01
—
38073
BCBS
NE
01
—
P00268425
RAILROAD MEDICARE
NE
01
—
P00410481
RAILROAD MEDICARE
NE
Enumeration date
05/19/2006
Last updated
06/25/2020
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