Individual
LORI ICKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 W 3RD ST, NELIGH, NE 68756-1464
(402) 887-5041
(866) 737-5735
Mailing address
110 W 3RD ST, NELIGH, NE 68756-1464
(402) 887-5041
(866) 737-5735
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
66019
NE
Other
Enumeration date
01/22/2020
Last updated
01/22/2020
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