Organization
SOUTH LINCOLN FAMILY PHYSICIANS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN DENELL DO (SECRETARY)
(402) 483-2987
Entity
Organization
Contact information
Practice address
3201 PIONEERS BLVD STE 304, LINCOLN, NE 68502-5963
(402) 483-2987
Mailing address
3201 PIONEERS BLVD STE 304, LINCOLN, NE 68502-5963
(402) 483-2987
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1144337643
QUALITY INCENTIVE
—
Enumeration date
06/27/2017
Last updated
07/21/2022
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