Individual
ALEXANDER POLONCIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2001 PARK DR, LEXINGTON, NE 68850-1257
(308) 940-2144
Mailing address
PO BOX 732, NORTH PLATTE, NE 69103-0732
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
01/22/2025
Last updated
01/22/2025
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