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307 N 46th St Lincoln NE 68503-3714 | |
(402) 466-8259 | |
(866) 891-4864 |
Full Name | |
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Speciality | Internal Medicine - Nephrology |
Location | 307 N 46th St, Lincoln, Nebraska |
Authorized Official Name and Position | Deron Frank (GENERAL MANGER/VICE PRESIDENT) |
Authorized Official Contact | 3105362402 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2000 16th St Denver CO 80202-5117 Ph: (303) 876-7243 | 307 N 46th St Lincoln NE 68503-3714 Ph: (402) 466-8259 |
NPI Number | 1285674515 |
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Provider Enumeration Date | 06/07/2006 |
Last Update Date | 01/07/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285674515 | NPI | - | NPPES |
10025093700 | Medicaid | NE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
207RN0300X | Internal Medicine - Nephrology | (* (Not Available)) | Primary |
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