Individual
MS. KERI LAZURE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2206 LONGO DR, SUITE 201, BELLEVUE, NE 68005-2977
(402) 292-9170
(402) 292-0119
Mailing address
2206 LONGO DR STE 201, BELLEVUE, NE 68005-2977
(402) 292-9170
(402) 292-0119
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
894
NE
Other
Enumeration date
05/02/2006
Last updated
12/09/2020
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