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Organization

ESSENTIAL FAMILY MEDICINE OF OMAHA, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LYNN ANDERSEN (PRACTICE ADMINISTRATOR)
(402) 319-5298
Entity
Organization

Contact information

Practice address
17520 WRIGHT ST, SUITE 105, OMAHA, NE 68130-4657
(402) 991-5353
(402) 991-5444
Mailing address
PO BOX 37, BOYS TOWN, NE 68010-0037
(402) 319-5298
(402) 505-7128

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
09/21/2015
Last updated
12/08/2015
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