# ESSENTIAL FAMILY MEDICINE OF OMAHA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407225477
- **Authorized official:** LYNN ANDERSEN (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (402) 319-5298

## Contact information

- **Practice address:** 17520 WRIGHT ST, SUITE 105, OMAHA, NE 68130-4657
- **Practice address phone:** (402) 991-5353
- **Practice address fax:** (402) 991-5444
- **Mailing address:** PO BOX 37, BOYS TOWN, NE 68010-0037
- **Mailing address phone:** (402) 319-5298
- **Mailing address fax:** (402) 505-7128

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/21/2015
- **Last updated:** 12/08/2015