Provider First Line Business Practice Location Address:
3902 LEAVENWORTH ST
Provider Second Line Business Practice Location Address:
TRUHLSEN EYE INSTITUTE
Provider Business Practice Location Address City Name:
OMAHA
Provider Business Practice Location Address State Name:
NE
Provider Business Practice Location Address Postal Code:
68105-1119
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
402-559-2020
Provider Business Practice Location Address Fax Number:
402-559-2267
Provider Enumeration Date:
05/20/2008