Individual
ALYSSA CAMILLE RUTAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1600 S 48TH ST STE 400, LINCOLN, NE 68506-1275
(402) 475-8877
Mailing address
1600 S 48TH ST STE 400, LINCOLN, NE 68506-1275
(402) 475-8877
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
5797
NE
Other
Enumeration date
07/02/2008
Last updated
08/06/2012
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