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1912996414
LANNIE L WEAK
OMAHA, NE
NPI
1912996414
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: NE 5480)
Enumeration Date
2005-10-18
Last Update Date
2023-12-11
Business Address
Dr. LANNIE L WEAK DDS
4620 S 25TH ST
OMAHA, NE 68107-1764
Phone number: 402-731-2100
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Mailing Address
Dr. LANNIE L WEAK DDS
4620 S 25TH ST
OMAHA, NE 68107-1764
Phone number: 402-731-2100
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