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Organization

LINCOLN FOOT CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MATTHEW R. HAHNE DPM (PRESIDENT)
(402) 466-6677
Entity
Organization

Contact information

Practice address
600 N COTNER BLVD, SUITE 116, LINCOLN, NE 68505
(402) 466-6677
(402) 466-6724
Mailing address
600 N COTNER BLVD, SUITE 116, LINCOLN, NE 68505-2343
(402) 466-6677
(402) 466-6724

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1013087402
PERSONAL NPI
NE
05
52868847700
NE
Enumeration date
06/08/2015
Last updated
08/15/2018
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