# GOOD FAITH FAMILY MEDICINE, LLC

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

## Provider details

- **NPI number:** 1821513722
- **Authorized official:** CANDICE HOTTOVY (MANAGER)
- **Authorized official phone:** (402) 488-4022

## Contact information

- **Practice address:** 8055 O STREET SUITE 100, LINCOLN, NE 68510
- **Practice address phone:** (402) 488-4022
- **Mailing address:** 8055 O ST STE 100, LINCOLN, NE 68510-2575

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/11/2017
- **Last updated:** 08/11/2017