Individual
LANCE E SCHUPBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2300 S 16TH ST, LINCOLN, NE 68502-3704
(402) 475-1011
(402) 481-4783
Mailing address
PO BOX 6971, LINCOLN, NE 68506-0971
(402) 421-1811
(402) 421-1833
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
21885
NE
208M00000X
Hospitalist Physician
21885
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03037818500
—
NE
05
—
10024994600
—
NE
Enumeration date
05/15/2006
Last updated
01/07/2014
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