Lisa Patrick
Women's Health Nurse Practitioner in Omaha, NE(View on Map)
Full Name
Lisa Patrick
NPI Number
1356017446
NPI Type
Individual Provider
Gender
Female
Enumeration Date
08/18/2021
Specialties
(Taxonomies)Code
363LW0102X
163WW0101X
Primary Taxonomy
Yes
No
Licenses
State
Nebraska
Nebraska
License Number
113700
68469
Contact
Information
Purpose
Mailing
Location
Address
16533 TIMBERLANE DR
515 N 162ND AVE STE 102
City
Omaha
Omaha
State
NE
NE
Postal Code
68136-3077
68118-2540
Country
US
US
Telephone Number
(308) 940-0132
(402) 397-6600
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 08/18/2021