Provider Information for 1225328925
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LUCRITIA ANN SAYLES
Sex: Female
NPI: 1225328925
Last Updated: 2011-04-14
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1225328925 | ||||||||
| Enumeration Date | 2011-04-14 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 124 S 24TH ST STE 230 OMAHA, NE 68102-1226 United States Phone: 402-978-5656 | Fax:402-591-5075 | ||||||||
| Primary Practice Address | 124 S 24TH ST STE 200 OMAHA, NE 68102-1226 United States Phone: 402-978-5656 | Fax:402-591-5075 | ||||||||
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