Individual
DR. JUSTIN D. HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
575 S. 70TH STREET, SUITE 200, LINCOLN, NE 68510-2471
(402) 488-3322
(402) 488-1172
Mailing address
575 S 70TH STREET, SUITE 200, LINCOLN, NE 68510-2471
(402) 488-3322
(402) 488-1172
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
24527
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00902
BCBS
NE
05
—
101086076
—
PA
01
—
470703099
UNITED HEALTHCARE
NE
05
—
47070309913
—
NE
Enumeration date
03/31/2006
Last updated
08/28/2008
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