Individual
LISA M PIETIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
575 S 70TH ST, SUITE 200, LINCOLN, NE 68510-2471
(402) 488-3322
(402) 488-1172
Mailing address
575 S 70TH ST, SUITE 200, LINCOLN, NE 68510-2471
(402) 488-3322
(402) 488-1172
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1701
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
470703099-13
—
NE
Enumeration date
01/24/2013
Last updated
01/09/2017
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