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Individual

AMANDA J FITZGERALD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
6825 S 27TH ST, SUITE 201, LINCOLN, NE 68512-4872
(402) 477-4545
(402) 477-4842
Mailing address
6825 S 27TH ST, SUITE 201, LINCOLN, NE 68512-4872
(402) 477-4545
(402) 477-4842

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
22915
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10025136400
NE
Enumeration date
08/19/2006
Last updated
02/06/2014
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