Individual
LAKAJA WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8310 VINE ST, LINCOLN, NE 68505-2040
(531) 248-0067
Mailing address
700 S 27TH ST, LINCOLN, NE 68510-3105
(531) 229-9086
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
385H00000X
Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
02/28/2025
Last updated
02/28/2025
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