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Lanisha Maxwell

NPI 1912704818 · on the registry since 2025 · sole proprietor

Practice

Address
8936 N 78th Avenue Cir
Omaha, NE 68122
Phone
(469) 668-5005
Organisation at this address
Covenant Angels Of Nebraska
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
372600000X
372600000X
Also registered as
372500000X
Sex
Male
Record last updated
2025-02-27

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