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Individual

LARRY W WOOD

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1710 S 70TH ST, LINCOLN, NE 68506-1676
(402) 484-9000
(402) 483-4223
Mailing address
1710 S 70TH ST, PO BOX 6068, LINCOLN, NE 68506-1676
(402) 484-9000
(402) 483-4223

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
11443
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0800034
UNITED HEALTHCARE
NE
01
1546
BLUE SHIELD
NE
01
3473-02
HMO NEBRASKA
NE
05
47062669803
NE
Enumeration date
07/07/2005
Last updated
07/08/2007
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