Individual
ERIN JANE DOUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
801 W PROSPECTOR PL, LINCOLN, NE 68522-1970
(402) 471-2654
Mailing address
801 W PROSPECTOR PL, LINCOLN, NE 68522-1970
(402) 471-2654
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2317
NE
Other
Enumeration date
03/26/2019
Last updated
02/28/2020
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