Organization
COMPLETE ENDOCRINOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON E WAKELEY MD (PHYSICIAN)
(402) 206-9104
Entity
Organization
Contact information
Practice address
2200 S 40TH ST STE 102, LINCOLN, NE 68506-2424
(402) 405-0500
(402) 405-0505
Mailing address
2200 S 40TH ST STE 102, LINCOLN, NE 68506-2424
(402) 405-0500
(402) 405-0505
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
25490
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1720328081
GROUP NPI
—
01
—
28D2054224
CLIA
NE
01
—
P01189738
RAILROAD MEDICARE
NE
Enumeration date
02/25/2013
Last updated
03/07/2023
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