Individual
MRS. MEGAN O BRYAN RAABE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
2331 FAIRFIELD ST, SUITE 1, LINCOLN, NE 68521-1348
(402) 434-7177
(402) 434-7180
Mailing address
2331 FAIRFIELD ST, SUITE 1, LINCOLN, NE 68521-1348
(402) 434-7177
(402) 434-7180
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
918
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47069726000
—
NE
05
—
47069726017
—
NE
Enumeration date
09/05/2006
Last updated
04/01/2014
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