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NPI Code Detail

MEDICARE: LAR PAW KWE

MEDICARE:   LAR PAW KWE
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
1372500000XChore Provider

General Provider Information

NPI Number : 1437958360
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAR PAW KWE
Provider Business Mailing Address
First Line : 3031 N 93RD ST
Second Line :
City : OMAHA
State : NE
Zip : 68134-4715
Country : US
Telephone Number : 531-800-5326
Fax Number :
Provider Business Practice Location Address
First Line : 5506 SPAULDING ST
Second Line :
City : OMAHA
State : NE
Zip : 68104-2954
Country : US
Telephone Number : 531-205-6227
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/12/2025
Last Update Date : 03/12/2025

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Directions to “ LAR PAW KWE ” Practice Location

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