in Lincoln - Podiatrist

- NPI 1508978693

is a Podiatrist in Lincoln, Nebraska. practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for is 1508978693. The last update date is .

's current location address is 4213 O St, Lincoln, Nebraska. You can contact this provider via phone number 4024888114. The mailing address for is 4213 O St, Lincoln, Nebraska. To know further, please read the information below!

Provider Profile Detail

Provider Name
Address 4213 O St, Lincoln, Nebraska
Phone Number 4024888114
Fax Number
Sole Proprietor --
Credentials --

NPI Number Detail

NPI Number 1508978693
Provider Enumeration Date
Last Updated Date

Provider Mailing Address Detail

Address 4213 O St
City Lincoln
State Nebraska (NE)
Post Code 685101751
Phone Number 4024888114
Fax Number

Provider's Primary Taxonomy Detail

Speciality Podiatrist
Taxonomy 213E00000X
Licence No 194
Definition:
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2593 BCBS
47070731200 NE --

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