Organization
LINCOLN PEDIATRIC GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATIE THOMPSON (PRACTICE ADMINISTRATOR)
(402) 489-3834
Entity
Organization
Contact information
Practice address
5625 S 62ND ST STE 100, LINCOLN, NE 68516-3558
(402) 489-3834
(402) 489-5049
Mailing address
5625 S 62ND ST STE 100, LINCOLN, NE 68516-3558
(402) 489-3834
(402) 489-5049
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1083640130
—
NE
Enumeration date
07/20/2017
Last updated
03/20/2024
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