Organization
LMMC COUNCIL BLUFFS LLLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIE BUTTS (CREDENTIALING)
(402) 817-4810
Entity
Organization
Contact information
Practice address
20 POWER DR STE 5, COUNCIL BLUFFS, IA 51501-7701
(402) 614-4969
(402) 614-4416
Mailing address
2255 S 132ND ST STE 100, OMAHA, NE 68144-2573
(402) 614-4969
(402) 614-4416
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
03/13/2019
Last updated
03/13/2019
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