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Lisa Jordan, OTR/L

NPI 1407124159 · on the registry since 2011 · sole proprietor

Practice

Address
16910 Frances St
Suite 102
Omaha, NE 68130
Phone
(402) 932-3355
Fax
(402) 932-3370
Organisation at this address
Mod Dermatology Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
14

Registry record

Primary taxonomy
225XF0002X
225XF0002X
Also registered as
225XF0002X
Licence states on file
NE
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2012-03-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Nebraska