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Lucious Booker
NPI 1528590437 · on the registry since 2017
Practice
- Address
- 809 S 174th St
Omaha, NE 68118 - Phone
- (402) 991-8093
- Organisation at this address
- Paradigm Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 10
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Licence states on file
- NE
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2017-03-30
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