Individual
LISA I MANSUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3401 PLANTATION DR, SUITE 160, LINCOLN, NE 68516-4712
(402) 328-8863
(402) 328-8078
Mailing address
3401 PLANTATION DR, SUITE 160, LINCOLN, NE 68516-4712
(402) 328-8863
(402) 328-8078
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
20419
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025031300
—
NE
01
—
P00057124
RAILROAD MEDICARE
NE
01
—
P00057124
RR MEDICARE
—
Enumeration date
06/05/2006
Last updated
02/26/2015
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