Individual
JEREMY LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
810 N 22ND ST, BLAIR, NE 68008-1128
(402) 426-2182
Mailing address
5110 N 196TH ST, ELKHORN, NE 68022-5183
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
922
NE
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/18/2009
Last updated
12/12/2018
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