Individual
DR. CARLTON MATTHEW THYGESEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
5045 SAWGRASS DR, LINCOLN, NE 68526-9677
(402) 483-4964
(402) 483-5533
Mailing address
5045 SAWGRASS DR, LINCOLN, NE 68526-9677
(402) 483-4964
(402) 483-5533
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9481
NE
Other
Enumeration date
07/31/2005
Last updated
07/08/2007
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