# PIERCE FAMILY PRACTICE L.L.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pierce Family Practice L.L.C. Gobbo Internal Medicine, Infectious Dis
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427251941
- **Authorized official:** KELLY PIERCE (PRESIDENT)
- **Authorized official phone:** (402) 450-8399

## Contact information

- **Practice address:** 4430 ASH HOLLOW CT, LINCOLN, NE 68516-2983
- **Practice address phone:** (402) 450-8399
- **Practice address fax:** (402) 858-1281
- **Mailing address:** 4430 ASH HOLLOW CT, LINCOLN, NE 68516-2983
- **Mailing address phone:** (402) 450-8399
- **Mailing address fax:** (402) 858-1281

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 20387 | NE | Yes |
| 207RI0200X | Infectious Disease Physician | 18104 | NE | — |

## Other

- **Enumeration date:** 06/11/2007
- **Last updated:** 03/18/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 10025522700 | — | NE |
| 01 | — | DF8738 | RAILROAD MEDICARE | NE |