Individual
DR. ALISA JOANN NOLLENDORFS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4600 VALLEY RD, LINCOLN, NE 68510-4855
(402) 483-4571
(402) 475-6003
Mailing address
3402 WASHINGTON ST, LINCOLN, NE 68506-1049
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
22206
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47082189713
—
NE
Enumeration date
07/29/2005
Last updated
04/21/2021
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