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Organization
GENESIS PSYCHIATRIC GROUP, LLC
Active
Organization
GENESIS PSYCHIATRIC GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE LEMON APRN (OWNER)
(402) 540-6365
Entity
Organization
Contact information
Practice address
2130 S 17TH ST STE 100, LINCOLN, NE 68502-3750
(402) 540-6365
Mailing address
1920 PERKINS BLVD, LINCOLN, NE 68502-3934
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
965
NE
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
110205
NE
Other
Enumeration date
01/19/2015
Last updated
02/19/2015
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