Provider Information for 1033295175
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Mrs. VICKIE ANN FRIZZELL PRATT LIMHP
Sex: Female
NPI: 1033295175
Last Updated: 2024-10-30
Certification Date: 2024-10-24
Certification Date: 2024-10-24
Details
Name | Value | ||||||||||||
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NPI | 1033295175 | ||||||||||||
Enumeration Date | 2006-10-31 | ||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||
Sole Proprietor | YES | ||||||||||||
Status | Active | ||||||||||||
Mailing Address | 5512 CLOUDBURST LANE LINCOLN, NE 68521 United States Phone: 402-486-3113 | Fax: | ||||||||||||
Primary Practice Address | 5512 CLOUDBURST LANE LINCOLN, NE 68521-1065 United States Phone: 402-486-3113 | Fax: | ||||||||||||
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