Individual
PATRICIA LIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
16120 W DODGE RD, OMAHA, NE 68118-2049
(402) 354-7077
(402) 354-0711
Mailing address
8005 FARNAM DR, STE 305, OMAHA, NE 68114-3426
(402) 390-4111
(402) 399-8455
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1776
NE
363AM0700X
Medical Physician Assistant
1776
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1417388596
—
IA
05
—
47068731742
—
NE
05
—
47068731751
—
NE
Enumeration date
11/27/2013
Last updated
03/02/2020
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