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Individual

DR. EILEEN C VAUTRAVERS

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
8201 NORTHWOODS DR, LINCOLN, NE 68505-3092
(405) 465-5600
(402) 737-0852
Mailing address
7200 OLD POST RD, 15, LINCOLN, NE 68506-2944

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
12635
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
47079049100
NE
Enumeration date
12/29/2005
Last updated
07/09/2007
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