Individual provider · Type 1 NPI

Lizandra Boullon

Homemaker · Crete, NE

NPI number 1063300838 Active

Practice location

817 E 14 Th St
Crete, NE 68333

Call (402) 821-8459 Map

Mailing address

2245 Heather Dr Apt 5
Crete, NE 68333-9421

Specialties and licenses

TaxonomyCodeLicense
Homemaker Primary 376J00000XNone listed

Homemaker: An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards.

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About NPI 1063300838

Lizandra Boullon's National Provider Identifier is 1063300838, issued on Jun 27, 2025. The primary taxonomy on file is Homemaker (376J00000X), and the practice location is in Crete, NE. The record was last updated on Jun 27, 2025.