Individual
LAUREN BOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5610 S 42ND ST, OMAHA, NE 68107-3103
(531) 299-1481
(531) 502-3449
Mailing address
5610 S 42ND ST, OMAHA, NE 68107-3103
(531) 299-1481
(531) 502-3449
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
88966
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
88966
REGISTERED NURSE SCHOOL
NE
Enumeration date
11/20/2020
Last updated
11/20/2020
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