Individual
LORETTA R TIBBELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2510 BELLEVUE MEDICAL CENTER DR STE 145A, BELLEVUE, NE 68123-1556
(402) 779-7207
(402) 779-7210
Mailing address
2510 BELLEVUE MEDICAL CENTER DR STE 145A, BELLEVUE, NE 68123-1556
(402) 779-7207
(402) 779-7210
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
19666
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19666
NE LICENSE
NE
Enumeration date
05/12/2006
Last updated
10/22/2015
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