| |
201 Capitol Beach Blvd Ste 1a Lincoln NE 68528-1645 | |
(402) 435-0228 | |
(402) 435-0229 |
Full Name | |
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Speciality | Family Medicine |
Location | 201 Capitol Beach Blvd Ste 1a, Lincoln, Nebraska |
Authorized Official Name and Position | Victoria Ann Warner (ADM.) |
Authorized Official Contact | 4024230396 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 23048 Lincoln NE 68542-3048 Ph: (402) 421-0161 | 201 Capitol Beach Blvd Ste 1a Lincoln NE 68528-1645 Ph: (402) 435-0228 |
NPI Number | 1235468778 |
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Provider Enumeration Date | 12/11/2009 |
Last Update Date | 09/14/2015 |
Identifier | Type | State | Issuer |
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1235468778 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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