Individual
DR. ALISSA MARIE CLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2300 S 16TH ST, LINCOLN, NE 68502-3704
(024) 818-5664
(024) 818-8054
Mailing address
2300 S 16TH ST, LINCOLN, NE 68502-3704
(402) 481-8566
(402) 481-8805
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
24190
NE
208M00000X
Hospitalist Physician
24190
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5901168
—
NC
Enumeration date
08/05/2006
Last updated
02/16/2021
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