Individual
LESLIE WILLIAM MAKOHONIUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16901 LAKESIDE HILLS CT, OMAHA, NE 68130-2318
(402) 552-3022
Mailing address
3349 LONGVIEW CT, LINCOLN, NE 68506-7328
(402) 327-8928
(402) 327-8928
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
21234
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03192
BCBSN
NE
05
—
10025166200
—
NE
Enumeration date
06/30/2006
Last updated
10/16/2009
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