DR. Lauren C Licitra, M.D.

NPI #1003256991 in Omaha, Nebraska

Provider Information

NPI Number: 1003256991
Entity Type: Individual
Name: DR. Lauren C Licitra, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: M.D.
Enumeration Date: Jun 25, 2013
Last Updated: Jun 25, 2013

Practice Location

Address: 42 ND AND EMILE ST
City: Omaha
State: Nebraska
ZIP Code: 68198-0001
Phone: (402) 559-4000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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