Blankenau, Lisa Renee
Blankenau, Lisa Renee is an sole proprietor health care provider with primary practice located at 5945 S 56Th St Suite 101, Lincoln NE 68516-3394. She recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as her primary health care specialty. Blankenau, Lisa Renee can be contacted via phone (402) 423-9303.Contact Information
Primary practice address
5945 S 56Th St Suite 101
Lincoln NE 68516-3394
Phone: (402) 423-9303
Fax: (402) 423-5662
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | 437 | Nebraska |
Profile Details
| NPI number | 1225182520 |
|---|---|
| LBN Legal business name | Blankenau, Lisa Renee |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 23rd, 2007 |
| Last updated | Jul 9th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225182520 | NPPES |
| Nebraska | MEDICAID | 100251111-00 |
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