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Individual

DORIE LYNN MEADOWS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
AMT,HHA,MA

Contact information

Practice address
604 S 22ND ST APT 502, OMAHA, NE 68102-3028
(402) 487-5170
Mailing address
604 S 22ND ST APT 502, OMAHA, NE 68102-3028
(402) 487-5170

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3039672
NE
363A00000X
Physician Assistant
3039672
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3039672
AMT
NE
01
3039672
AMT
TN
Enumeration date
03/15/2025
Last updated
03/15/2025
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