Individual
LAKEISHA MARIE PHELPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3568 DODGE ST, OMAHA, NE 68131
(402) 345-0791
(402) 345-0938
Mailing address
3568 DODGE ST, OMAHA, NE 68131-3201
(402) 345-0791
(402) 345-0938
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
NE
Other
Enumeration date
08/30/2017
Last updated
07/21/2022
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