| Regeneration P.c. | |
|
6030 Village Dr Ste 100 Lincoln NE 68516-4773 | |
| (402) 483-0431 | |
| (402) 483-9905 |
| Full Name | Regeneration P.c. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 6030 Village Dr Ste 100, Lincoln, Nebraska |
| Authorized Official Name and Position | Kelly Thelen (OWNER) |
| Authorized Official Contact | 4024830431 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Regeneration P.c. 6030 Village Dr Ste 100 Lincoln NE 68516-4773 Ph: (402) 483-0431 | Regeneration P.c. 6030 Village Dr Ste 100 Lincoln NE 68516-4773 Ph: (402) 483-0431 |
| NPI Number | 1508316720 |
|---|---|
| Provider Enumeration Date | 10/12/2016 |
| Last Update Date | 12/07/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508316720 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 110335 (Nebraska) | Primary |
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