Individual
DR. LANCE WIEBUSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5500 PINE LAKE RD, LINCOLN, NE 68516-3389
(402) 489-8888
(402) 421-1945
Mailing address
5500 PINE LAKE RD, LINCOLN, NE 68516-3389
(402) 489-8888
(402) 421-1945
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
25807
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45237
BCBS
NE
01
—
545167
COVENTRY HEALTH CARE
NE
Enumeration date
04/03/2007
Last updated
04/10/2023
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