Organization
MEDPEDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LORI BRUNNER-BUCK M.D. (OWNER)
(402) 658-3014
Entity
Organization
Contact information
Practice address
4209 N 195TH ST, ELKHORN, NE 68022-5174
(402) 557-5703
Mailing address
4209 N 195TH ST, ELKHORN, NE 68022-5174
(402) 557-5703
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
23344
NE
208000000X
Pediatrics Physician
23344
NE
Other
Enumeration date
01/19/2017
Last updated
01/19/2017
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