| Lincoln Tongue Tie Center Llc | |
|
5760 S 86th St Ste 2 Lincoln NE 68526-6053 | |
| (402) 484-5760 | |
| Not Available |
| Full Name | Lincoln Tongue Tie Center Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 5760 S 86th St Ste 2, Lincoln, Nebraska |
| Authorized Official Name and Position | Justin Villafane (OWNER) |
| Authorized Official Contact | 4024845760 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lincoln Tongue Tie Center Llc 5760 S 86th St Ste 2 Lincoln NE 68526-6053 Ph: (402) 484-5760 | Lincoln Tongue Tie Center Llc 5760 S 86th St Ste 2 Lincoln NE 68526-6053 Ph: (402) 484-5760 |
| NPI Number | 1851903967 |
|---|---|
| Provider Enumeration Date | 08/19/2020 |
| Last Update Date | 08/19/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851903967 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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