| David L Sullivan Ladc Plmhp | |
|
1620 S 70th St Ste 101 Lincoln NE 68506-1563 | |
| (402) 202-9342 | |
| Not Available |
| Full Name | David L Sullivan Ladc Plmhp |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1620 S 70th St Ste 101, Lincoln, Nebraska |
| Authorized Official Name and Position | David L Sullivan (PRESIDENT) |
| Authorized Official Contact | 4022029342 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David L Sullivan Ladc Plmhp 2742 S 39th St Lincoln NE 68506-3234 Ph: (402) 202-9342 | David L Sullivan Ladc Plmhp 1620 S 70th St Ste 101 Lincoln NE 68506-1563 Ph: (402) 202-9342 |
| NPI Number | 1780168344 |
|---|---|
| Provider Enumeration Date | 09/19/2018 |
| Last Update Date | 09/19/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780168344 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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