Organization
CODDINGTON MEDICAL FAMILY PRACTICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY J SULLIVAN M.D. (PRESIDENT)
(402) 742-2502
Entity
Organization
Contact information
Practice address
1336 WEST A STREET, SUITE A, LINCOLN, NE 68522
(402) 742-2502
Mailing address
7711 W WALIN LN, LINCOLN, NE 68532-9200
(402) 742-2502
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
17443
NE
Other
Enumeration date
10/30/2013
Last updated
10/07/2024
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