Individual
LISA NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12200 BURKE BLVD, OMAHA, NE 68154-2399
(531) 299-2581
(531) 299-2588
Mailing address
12200 BURKE BLVD, OMAHA, NE 68154-2399
(531) 299-2581
(531) 299-2588
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
—
NE
3747A0650X
Attendant Care Provider
Primary
—
NE
Other
Enumeration date
12/20/2024
Last updated
08/22/2025
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