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Individual

DR. MATTHEW PORN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
2801 PINE LAKE RD STE J, LINCOLN, NE 68516-6041
(402) 420-6644
(402) 420-2926
Mailing address
1701 MARLENE DR, LINCOLN, NE 68512-9250
(402) 841-1065

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
078718
IA
152W00000X
Optometrist
Primary
1440
NE

Other

Enumeration date
06/18/2015
Last updated
05/10/2021
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