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Organization

INNOVATIVE COMMUNITY HEALTH INSTITUTE LLC

Active
Parent organization
INNOVATIVE COMMUNITY HEALTH INSTITUTE LLC
Other names
Lancaster Family Medicine
Organization subpart
Yes

Provider details

NPI number
Legal business name
INNOVATIVE COMMUNITY HEALTH INSTITUTE LLC
Authorized official
DR. JOSUE DANIEL GUTIERREZ MD (OWNER)
(402) 209-0311
Entity
Organization

Contact information

Practice address
4911 N 26TH ST, LINCOLN, NE 68521-4739
(402) 826-3222
(402) 826-3228
Mailing address
4911 N 26TH ST STE 101, LINCOLN, NE 68521-4739
(402) 826-3222
(402) 826-3228

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
03/04/2019
Last updated
02/13/2026
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