Individual
DR. HEIDI JOAN LICHTENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
14760 W CENTER RD, OMAHA, NE 68144-2035
(402) 334-9100
Mailing address
14760 W CENTER RD, OMAHA, NE 68144-2035
(402) 334-9100
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
NE 1278
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025538600
—
NE
Enumeration date
06/27/2007
Last updated
07/20/2011
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