Organization
ARCHWELL HEALTH PROFESSIONAL SERVICES, P.A.
Active
Organization
ARCHWELL HEALTH PROFESSIONAL SERVICES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA LUCAS (CHIEF ADMINISTRATIVE OFFICER)
(615) 419-9047
Entity
Organization
Contact information
Practice address
3501 S 84TH ST, OMAHA, NE 68124-4056
(888) 987-1511
Mailing address
102 WOODMONT BLVD STE 600, NASHVILLE, TN 37205-5250
(888) 987-1151
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
Other
Enumeration date
02/20/2023
Last updated
03/13/2023
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