Organization
LCG AND ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY CHARLES WIGINGTON M.D. (PRESIDENT)
(402) 677-5595
Entity
Organization
Contact information
Practice address
2437 S 130TH CIR, SUITE 100, OMAHA, NE 68144-2528
(402) 677-5595
Mailing address
2437 S 130TH CIR, SUITE 100, OMAHA, NE 68144-2528
(402) 677-5595
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
29362
NE
Other
Enumeration date
09/22/2016
Last updated
09/23/2016
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