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1295131480
LISA LAVINE
OMAHA, NE
NPI
1295131480
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2014-11-14
Last Update Date
2014-11-14
Business Address
-- LISA LAVINE
4732 S 131ST ST
OMAHA, NE 68137-1822
Phone number: 402-697-3923
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Mailing Address
-- LISA LAVINE
2742 READ ST
OMAHA, NE 68112-3122
Phone number: 402-578-9111
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