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Lizandra Boullon

NPI 1063300838 · on the registry since 2025 · sole proprietor

Practice

Address
817 E 14 Th St
Crete, NE 68333
Phone
(402) 821-8459

Registry record

Primary taxonomy
376J00000X
376J00000X
Sex
Female
Record last updated
2025-06-27

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