Organization
LAKESIDE EAR, NOSE, & THROAT PHYSICIANS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES V HUERTER M.D. (PRESIDENT)
(402) 758-5600
Entity
Organization
Contact information
Practice address
17030 LAKESIDE HILLS PLZ, STE. 204, OMAHA, NE 68130-2396
(402) 758-5600
(402) 758-5169
Mailing address
17030 LAKESIDE HILLS PLZ, STE. 204, OMAHA, NE 68130-2396
(402) 758-5600
(402) 758-5169
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0201904
—
IA
Enumeration date
12/15/2006
Last updated
10/31/2008
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