Individual
ANGELA LYNN FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
16901 LAKESIDE HILLS CT, OMAHA, NE 68130
(855) 524-4001
(402) 717-7340
Mailing address
16901 LAKESIDE HILLS CT, OMAHA, NE 68130-2318
(855) 524-4001
(402) 717-7340
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
22530
NE
208M00000X
Hospitalist Physician
Primary
22530
NE
208M00000X
Hospitalist Physician
MD-45123
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1407869498
—
IA
05
—
470687317-16
—
NE
Enumeration date
08/14/2006
Last updated
11/15/2018
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