Individual
CARL THOMAS FRANK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16909 LAKESIDE HILLS CT, LAKESIDE PROF CRT N STE 200, OMAHA, NE 68130-2318
(402) 571-5323
(402) 571-2495
Mailing address
16909 LAKESIDE HILLS CT, LAKESIDE PROF CRT N STE 200, OMAHA, NE 68130-2318
(402) 571-5323
(402) 571-2495
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
11319
NE
174400000X
Specialist
23948
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47073708113
—
NE
Enumeration date
07/18/2005
Last updated
07/08/2007
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