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Organization
OMAHA FOOT CARE CENTER INC
Active
Organization
OMAHA FOOT CARE CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES RICHARD LUECK DPM (OWNER PODIATRIST)
(402) 572-0423
Entity
Organization
Contact information
Practice address
6659 SORENSEN PARKWAY, OMAHA, NE 68152-2139
(402) 572-0423
(402) 572-0267
Mailing address
6659 SORENSEN PARKWAY, OMAHA, NE 68152-2139
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1501973
—
IA
01
—
27 00096
UNITED HEALTH CARE
—
01
—
526929A
PRINCIPAL HEALTH CARE
—
01
—
D2526
BCBS NE
—
01
—
UI0900712
EXCLUSIVE CARE
—
Enumeration date
10/04/2006
Last updated
11/02/2010
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