Individual
LYNNE D WILLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8200 DODGE ST, OMAHA, NE 68114
(402) 955-6140
(402) 955-3398
Mailing address
8200 DODGE ST., OMAHA, NE 68114
(402) 955-6140
(402) 955-3398
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
2001014481
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
136780001
—
AR
01
—
148069
BCBS
MO
05
—
202554812
—
MO
01
—
370020196
RAILROAD MEDICARE
—
01
—
466289
HEALTHLINK
—
05
—
64068919
—
KY
Enumeration date
05/11/2006
Last updated
04/20/2010
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