Individual
JACOB LAMOREUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
555 CORNHUSKER RD STE 207, BELLEVUE, NE 68005-7918
(402) 614-4300
Mailing address
PO BOX 34669, OMAHA, NE 68134-0669
(402) 932-6791
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4569
NE
Other
Enumeration date
09/12/2023
Last updated
09/12/2023
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