Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0102X | Surgical Critical Care | 27710 | NE |
N | 2086S0102X | Surgical Critical Care | DR.0063109 | CO |
NPI | 1053503599 |
---|---|
Provider Name | Dr. Lisa Lynn Schlitzkus |
First Address | Omaha, NE 68198-8102 |
Second Address | Omaha, NE 68198-8102 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/08/2007 |
Last Update Date | 21/08/2019 |