| Widman Psychiatric Services, Pc | |
|
8801 Augusta Dr Lincoln NE 68526-9578 | |
| (402) 613-2163 | |
| Not Available |
| Full Name | Widman Psychiatric Services, Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 8801 Augusta Dr, Lincoln, Nebraska |
| Authorized Official Name and Position | Lawrence Paul Widman (OWNER) |
| Authorized Official Contact | 4026132163 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Widman Psychiatric Services, Pc 8801 Augusta Dr Lincoln NE 68526-9578 Ph: (402) 613-2163 | Widman Psychiatric Services, Pc 8801 Augusta Dr Lincoln NE 68526-9578 Ph: (402) 613-2163 |
| NPI Number | 1558645382 |
|---|---|
| Provider Enumeration Date | 09/28/2011 |
| Last Update Date | 09/28/2011 |
| Medicare PECOS PAC ID | 6507039096 |
|---|---|
| Medicare Enrollment ID | O20111028000009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558645382 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 19209 (Nebraska) | Primary |
| Provider Name | Lawrence P Widman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932150521 PECOS PAC ID: 4183628506 Enrollment ID: I20060826000033 |
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