| Leslie Richardson, Llc | |
|
3201 Pioneers Blvd 112 Lincoln NE 68502-5963 | |
| (402) 486-3110 | |
| Not Available |
| Full Name | Leslie Richardson, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3201 Pioneers Blvd, Lincoln, Nebraska |
| Authorized Official Name and Position | Leslie Richardson (OWNER) |
| Authorized Official Contact | 4024707130 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Leslie Richardson, Llc 2820 Jane Ln Lincoln NE 68516-2746 Ph: (402) 470-7130 | Leslie Richardson, Llc 3201 Pioneers Blvd 112 Lincoln NE 68502-5963 Ph: (402) 486-3110 |
| NPI Number | 1093259491 |
|---|---|
| Provider Enumeration Date | 12/05/2016 |
| Last Update Date | 12/05/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093259491 | NPI | - | NPPES |
| 98402 | Other | NE | BCBS |
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