MEDICARE: LISSA J BEBEE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1275333270
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LISSA J BEBEE

Provider Business Mailing Address
First Line	:	1401 S 10TH ST APT 3
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68108-3606
Country	:	US
Telephone Number	:	402-250-4793
Fax Number	:

Provider Business Practice Location Address
First Line	:	1401 E GOLD COAST RD STE 430
Second Line	:
City	:	PAPILLION
State	:	NE
Zip	:	68046-5748
Country	:	US
Telephone Number	:	402-331-3073
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/18/2025
Last Update Date	:	04/07/2025

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Directions to “ LISSA J BEBEE ” Practice Location

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