Individual
TODD ALLEN SORENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2222 S 16TH ST MEDICAL TOWER B, STE 305, LINCOLN, NE 68502
(402) 488-3002
(402) 483-8787
Mailing address
2222 S 16TH ST, MEDICAL TOWER B, STE 305, LINCOLN, NE 68502-3762
(402) 488-3002
(402) 483-8787
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
697
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47061995513
—
NE
Enumeration date
12/22/2005
Last updated
12/15/2009
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