Individual
YAZAN ODEH ALI ALZEDANEEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3901 PINE LAKE RD STE 410, LINCOLN, NE 68516-5415
(402) 483-8700
Mailing address
PO BOX 860876, MINNEAPOLIS, MN 55486-0876
(402) 483-8590
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
36777
NE
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/23/2020
Last updated
07/11/2025
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