Individual
DR. LISA L WHITCOMB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
17675 WELCH PLZ, OMAHA, NE 68135-3551
(402) 354-1925
Mailing address
PO BOX 3755, OMAHA, NE 68103-0755
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
20722
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025464000
—
NE
05
—
1508977695
—
IA
05
—
2504803
—
IA
05
—
47068731742
—
NE
05
—
47068731795
—
NE
Enumeration date
08/31/2006
Last updated
04/12/2013
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