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Individual

LIEN LE PHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2301 O ST, LINCOLN, NE 68510-1124
(402) 817-0165
(402) 417-0255
Mailing address
2301 O ST, LINCOLN, NE 68510-1124

Taxonomy

Speciality
Code
Description
License number
State
1835P1300X
Psychiatric Pharmacist
Primary
11742
NE

Other

Enumeration date
09/07/2017
Last updated
09/07/2017
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