Individual
ELISA ZNAMENACEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
555 S 70TH ST, LINCOLN, NE 68510-2462
(402) 327-9990
Mailing address
3941 EAGLE RIDGE RD, APT 102, LINCOLN, NE 68516-7046
(402) 327-9990
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
65899
NE
Other
Enumeration date
06/12/2015
Last updated
06/12/2015
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