Organization
WIDMAN PSYCHIATRIC SERVICES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE PAUL WIDMAN M.D. (OWNER)
(402) 613-2163
Entity
Organization
Contact information
Practice address
8801 AUGUSTA DR, LINCOLN, NE 68526-9578
(402) 613-2163
Mailing address
8801 AUGUSTA DR, LINCOLN, NE 68526-9578
(402) 613-2163
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
19209
NE
Other
Enumeration date
09/28/2011
Last updated
09/28/2011
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