COURTNEY LIESTER LLC NPI 1396397352

NPI Information

COURTNEY LIESTER LLC is a community health clinic center in Omaha, NE. COURTNEY LIESTER LLC NPI is 1396397352. The provider is registered as an organization entity type.

The provider's business location address is:

7905 L ST STE 410
OMAHA, NE
ZIP 68127-732
Phone: (402) 577-0173

The provider's authorized official is Courtney Liester .
The authorized official title is Therapist and has the following contact phone number (402) 577-0173.

The enumeration date for this NPI number is 7/10/2019 and was last updated on 7/10/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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