Individual
DR. LEWIS JOSEPH FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10060 REGENCY CIR, OMAHA, NE 68114-3732
(402) 354-1325
Mailing address
PO BOX 3755, OMAHA, NE 68103-0755
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
11634
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0944454
—
IA
05
—
47068731742
—
NE
Enumeration date
08/23/2006
Last updated
09/19/2007
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