LISA DAWN PORTER

GRAND ISLAND, NE
NPI1447085915
Former NameLISA DAWN LUKASIEWICZ
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: NE  706)
Enumeration Date2024-09-04
Last Update Date2024-09-04
Business Address
LISA DAWN PORTER COTA/L
3004 W FAIDLEY AVE
GRAND ISLAND, NE 68803-4109
Phone number: 308-398-5170
Mailing Address
LISA DAWN PORTER COTA/L
PO BOX 5285
GRAND ISLAND, NE 68802-5285
Phone number: 308-675-1853
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