# COMPLETE ENDOCRINOLOGY, LLC

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

## Provider details

- **NPI number:** 1720328081
- **Authorized official:** SHANNON E WAKELEY MD (PHYSICIAN)
- **Authorized official phone:** (402) 206-9104

## Contact information

- **Practice address:** 2200 S 40TH ST STE 102, LINCOLN, NE 68506-2424
- **Practice address phone:** (402) 405-0500
- **Practice address fax:** (402) 405-0505
- **Mailing address:** 2200 S 40TH ST STE 102, LINCOLN, NE 68506-2424
- **Mailing address phone:** (402) 405-0500
- **Mailing address fax:** (402) 405-0505

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | 25490 | NE | Yes |

## Other

- **Enumeration date:** 02/25/2013
- **Last updated:** 03/07/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1720328081 | GROUP NPI | — |
| 01 | — | 28D2054224 | CLIA | NE |
| 01 | — | P01189738 | RAILROAD MEDICARE | NE |