Organization
LISA I MANSUR MD PC
Active
Other names
Palliative Care Services of Nebraska
Organization subpart
No
Provider details
NPI number
Authorized official
DWIGHT BRUCE MANSUR (ADMINISTRATOR)
(402) 328-8863
Entity
Organization
Contact information
Practice address
3401 PLANTATION DR, SUITE 160, LINCOLN, NE 68516-4712
(402) 328-8863
(402) 328-8078
Mailing address
3401 PLANTATION DR, SUITE 160, LINCOLN, NE 68516-4712
(402) 328-8863
(402) 328-8078
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
20419
NE
Other
Enumeration date
06/25/2006
Last updated
08/30/2013
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