Individual
DR. MAMAN LAWAN ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11819 MIRACLE HILLS DR STE 105, OMAHA, NE 68154-4428
(402) 905-2075
(402) 905-9864
Mailing address
11819 MIRACLE HILLS DR STE 105, OMAHA, NE 68154-4428
(402) 905-2075
(402) 905-9864
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25477
NE
207Q00000X
Family Medicine Physician
TEP # 5214
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026534900
—
NE
05
—
1710181151
—
IA
05
—
47068731789
—
NE
Enumeration date
06/11/2007
Last updated
03/13/2017
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