Individual
LAURIE W BERGLUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 N 175TH ST STE 1000, CHILDREN'S HOSPITAL & MEDICAL CENTER URGENT CARE, OMAHA, NE 68118-3581
(402) 955-8300
(402) 955-7310
Mailing address
8200 DODGE ST, CHILDREN'S HOSPITAL & MEDICAL CENTER, OMAHA, NE 68114-4113
(402) 955-5400
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
111870
NE
Other
Enumeration date
09/04/2015
Last updated
09/04/2015
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