Individual
MRS. LAURA PATRICIA ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH,BS
Contact information
Practice address
4000 EAST CAMPUS LOOP, LINCOLN, NE 68583
(402) 472-3015
(402) 472-1443
Mailing address
310 BLUE SAGE BLVD, LINCOLN, NE 68521-9030
(402) 477-4994
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
1213
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025085600
—
NE
Enumeration date
06/22/2018
Last updated
06/22/2018
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