Individual
DR. LANCE TYLER OTTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DOCTOR OF CHIROPRACT
Contact information
Practice address
8222 HOLDREGE ST., LINCOLN, NE 68505
(402) 466-0007
(432) 694-7939
Mailing address
8222 HOLDREGE ST., LINCOLN, NE 68505
(402) 466-0007
(432) 694-7939
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
12184
TX
Other
Enumeration date
11/08/2012
Last updated
07/01/2015
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