Individual
DR. LARS E. VANDERBUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9202 WEST DODGE ROAD, SUITE 101, OMAHA, NE 68114
(402) 955-7500
(402) 955-7524
Mailing address
8401 WEST DODGE ROAD, SUITE 280, OMAHA, NE 68114
(402) 955-6877
(402) 955-6880
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
22271
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
239080
MIDLANDS CHOICE
NE
01
—
2606
BCBS
NE
05
—
47068937213
—
NE
05
—
565671
—
IA
Enumeration date
10/02/2006
Last updated
04/03/2013
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