Most Relevant Information
Provider Data
| NPI Number: | 1003256991 |
| Provider Name: | LAUREN C LICITRA M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 207R00000X |
| Specialty: | Internal Medicine |
| License Number: | 6989 |
Most Important Dates
| Enumeration Date: | 06/25/2013 |
| Last Updated: | 06/25/2013 |
Provider Practice Location
42 ND AND EMILE ST
OMAHA
NE
681980001
Practice Location Phone/Fax
| Phone: | 4025594000 |
| Fax: |
Provider Mailing Location
42 ND AND EMILE ST
OMAHA
NE
681980001
Provider Mailing Phone/Fax
| Phone: | 4025594000 |
| Fax: |
Suggested EMR
Internist EMR