| Restore Joint Health | |
|
10601 S 72nd St Ste 102 Papillion NE 68046-3407 | |
| (402) 670-7556 | |
| Not Available |
| Full Name | Restore Joint Health |
|---|---|
| Speciality | Family Medicine |
| Location | 10601 S 72nd St Ste 102, Papillion, Nebraska |
| Authorized Official Name and Position | Lisa Staudt (DIRECTOR) |
| Authorized Official Contact | 4026707556 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Restore Joint Health 10601 S 72nd St Ste 102 Papillion NE 68046-3407 Ph: (402) 670-7556 | Restore Joint Health 10601 S 72nd St Ste 102 Papillion NE 68046-3407 Ph: (402) 670-7556 |
| NPI Number | 1063089795 |
|---|---|
| Provider Enumeration Date | 06/10/2021 |
| Last Update Date | 06/30/2021 |
| Medicare PECOS PAC ID | 8729481445 |
|---|---|
| Medicare Enrollment ID | O20210719002451 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063089795 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| Provider Name | Lorrie L Mcgill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053300244 PECOS PAC ID: 1658361969 Enrollment ID: I20040519000299 |
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