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Individual

DR. MORGAN TREVOR LAHOLT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5401 SOUTH ST, LINCOLN, NE 68506-2150
(402) 413-3531
(402) 413-3535
Mailing address
5401 SOUTH ST, LINCOLN, NE 68506-2150
(402) 413-3531
(402) 413-3535

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
25676
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
096555006
MEDICARE NUMBER
NE
05
47043959925
NE
Enumeration date
05/14/2007
Last updated
07/02/2013
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