Individual
DR. JENNIFER A LEINICKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4014 LEAVENWORTH ST, OMAHA, NE 68105-1053
(402) 559-4017
(402) 559-6749
Mailing address
988102 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8102
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2009010829
MO
208600000X
Surgery Physician
57027762
OH
208C00000X
Colon & Rectal Surgery Physician
Primary
29987
NE
Other
Enumeration date
07/31/2007
Last updated
08/03/2017
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