# LISA I MANSUR MD PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Palliative Care Services of Nebraska
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083640437
- **Authorized official:** DWIGHT BRUCE MANSUR (ADMINISTRATOR)
- **Authorized official phone:** (402) 328-8863

## Contact information

- **Practice address:** 3401 PLANTATION DR, SUITE 160, LINCOLN, NE 68516-4712
- **Practice address phone:** (402) 328-8863
- **Practice address fax:** (402) 328-8078
- **Mailing address:** 3401 PLANTATION DR, SUITE 160, LINCOLN, NE 68516-4712
- **Mailing address phone:** (402) 328-8863
- **Mailing address fax:** (402) 328-8078

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RP1001X | Pulmonary Disease Physician | 20419 | NE | Yes |

## Other

- **Enumeration date:** 06/25/2006
- **Last updated:** 08/30/2013