Pine Lake Intensity-Modulated in Lincoln - Oncology, Radiation
Pine Lake Intensity-Modulated - NPI 1174674691
Pine Lake Intensity-Modulated is a Oncology, Radiation in Lincoln, Nebraska. Pine Lake Intensity-Modulated practices all healthcare services and medical treatments related to Oncology, Radiation. The NPI Number for Pine Lake Intensity-Modulated is 1174674691. The last update date is 2009-12-11.
Pine Lake Intensity-Modulated's current location address is 3901 Pine Lake Rd, Lincoln, Nebraska. You can contact this provider via phone number 4024816090. The mailing address for Pine Lake Intensity-Modulated is 3901 Pine Lake Rd, Lincoln, Nebraska. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pine Lake Intensity-Modulated |
|---|---|
| Address | 3901 Pine Lake Rd, Lincoln, Nebraska |
| Phone Number | 4024816090 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGING M |
|---|---|
| Authorized Official Name | Barrios Bennett |
| Credentials | MD |
| Telephone Number | 4023277300 |
NPI Number Detail
| NPI Number | 1174674691 |
|---|---|
| Provider Enumeration Date | 2007-01-12 |
| Last Updated Date | 2009-12-11 |
Provider Mailing Address Detail
| Address | 3901 Pine Lake Rd |
|---|---|
| City | Lincoln |
| State | Nebraska (NE) |
| Post Code | 685165497 |
| Phone Number | 4024816090 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Oncology, Radiation |
|---|---|
| Taxonomy | 261Qx0203X |
|
Definition: Uses high energy radiation to treat cancer. |
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What is the unique 10-digit identification code assigned to Pine Lake Intensity-Modulated by the Centers for Medicare & Medicaid Services?
The Pine Lake Intensity-Modulated has been issued the NPI (National Provider Identifier) 1174674691, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Pine Lake Intensity-Modulated located?
The Pine Lake Intensity-Modulated is located at 3901 Pine Lake Rd, Lincoln, NE 685165497.
What is the area of specialization for Pine Lake Intensity-Modulated, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Pine Lake Intensity-Modulated is Oncology, Radiation, and the corresponding taxonomy code that categorizes this area of expertise is 261Qx0203X.
On what date was the 1174674691 assigned to Pine Lake Intensity-Modulated?
The Pine Lake Intensity-Modulated was issued its 1174674691 on 2007-01-12, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Pine Lake Intensity-Modulated's information last updated?
The Pine Lake Intensity-Modulated's information was last updated on 2009-12-11.
NPI Number: 1528061793
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