Lorraine Myers Provencher, M.D.

NPI #1174935910 in Omaha, Nebraska

Provider Information

NPI Number: 1174935910
Entity Type: Individual
Name: Lorraine Myers Provencher, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Ophthalmology
Credential: M.D.
Enumeration Date: May 28, 2014
Last Updated: May 21, 2024

Practice Location

Address: 4909 S 118TH ST
City: Omaha
State: Nebraska
ZIP Code: 68137-2213
Phone: (402) 506-9970

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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