Individual
REX F LARGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5533 S 27TH STREET, SUITE 103, LINCOLN, NE 68512-1664
(402) 423-7000
(402) 423-9399
Mailing address
PO BOX 239, LUTZ, FL 33548-0239
(402) 423-7000
(402) 473-9399
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
17872
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0300105
UNITED HEALTHCARE
NE
01
—
32062
BC/BS
NE
01
—
677
MIDLANDS CHOICE
NE
05
—
91181700900
—
NE
Enumeration date
10/06/2005
Last updated
05/10/2023
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