Organization
LINCOLN FAMILY MEDICAL GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID KLITZKE (BUSINESS MANAGER)
(402) 488-7400
Entity
Organization
Contact information
Practice address
7441 O ST STE 400, LINCOLN, NE 68510-2466
(402) 488-7400
Mailing address
7441 O ST STE 400, LINCOLN, NE 68510-2466
(402) 488-7400
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103T00000X
Psychologist
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01996
BCBS
NE
Enumeration date
02/19/2007
Last updated
01/06/2015
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