Lisa Grant
Technician, Personal Care Attendant in Omaha, NE. Individual provider (NPI-1).
NPI number1003703000
StatusActive
Last updated in NPPESJun 23, 2025
Details
- NPI
- 1003703000
- Entity type
- Individual (NPI-1)
- Name
- Lisa Grant
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 23, 2025
- Certification date
- Jun 22, 2025
- Last updated
- Jun 23, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | – | Yes |
Practice location
11711 Sunburst StOmaha, NE 68164-2244
Phone 402-706-8577
Mailing address
2719 N 45th StOmaha, NE 68104-4516
Phone 402-706-8577
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