Individual
DR. LODEWYK R. PAPENFUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3911 AVENUE B, SUITE 1100, SCOTTSBLUFF, NE 69361-4617
(308) 630-2100
(308) 630-2113
Mailing address
1002 MOCKINGBIRD DR, SCOTTSBLUFF, NE 69361-4923
(308) 220-4059
(308) 630-2149
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21968
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080176395
PALMENTO GBA RR MEDICARE
—
Enumeration date
07/30/2006
Last updated
02/10/2014
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