Individual
LISA NIEDERHAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2201 S 17TH ST, LINCOLN, NE 68502-3713
(402) 441-7940
Mailing address
124 S 24TH ST, STE 230, OMAHA, NE 68102-1226
(402) 978-5673
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/09/2015
Last updated
03/09/2015
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