| Lisa Riekenberg | |
|
3534 S 48th St Ste 3a Lincoln NE 68506-6425 | |
| (420) 477-7170 | |
| (402) 477-7173 |
| Full Name | Lisa Riekenberg |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 3534 S 48th St Ste 3a, Lincoln, Nebraska |
| Authorized Official Name and Position | Lisa M Riekenberg (OWNER) |
| Authorized Official Contact | 4204777170 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Riekenberg 3534 S 48th St Ste 3a Lincoln NE 68506-6425 Ph: (420) 477-7170 | Lisa Riekenberg 3534 S 48th St Ste 3a Lincoln NE 68506-6425 Ph: (420) 477-7170 |
| NPI Number | 1679845945 |
|---|---|
| Provider Enumeration Date | 02/02/2012 |
| Last Update Date | 02/02/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679845945 | NPI | - | NPPES |
| 10025105400 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 292 (Nebraska) | Primary |
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