# LMMC NORFOLK LLC

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

## Provider details

- **NPI number:** 1790530574
- **Authorized official:** EMILY SCHROEDER (DIRECTOR OF BUSINESS INTELLIGENCE)
- **Authorized official phone:** (402) 525-8685

## Contact information

- **Practice address:** 2501 LAKERIDGE DR STE 104A, NORFOLK, NE 68701-2558
- **Practice address phone:** (402) 973-1507
- **Mailing address:** 2501 LAKERIDGE DR STE 104A, NORFOLK, NE 68701-2558

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/23/2024
- **Last updated:** 05/23/2024