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Individual

LAUREN J MASKIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
8200 DODGE ST, CHILDREN'S HOSPITAL & MEDICAL CENTER, OMAHA, NE 68114-4113
(402) 955-5400
Mailing address
8200 DODGE ST, CHILDREN'S HOSPITAL & MEDICAL CENTER, OMAHA, NE 68114-4113

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
26615
NE
208000000X
Pediatrics Physician
Primary
MT194387
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
26615
STATE LICENSE
NE
Enumeration date
07/21/2009
Last updated
01/30/2012
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