Organization
LINCOLN PERFORMANCE AND SPORTS MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TYLER MARK IDEUS D.C. (PHYSICIAN)
(402) 239-2298
Entity
Organization
Contact information
Practice address
1220 ARIES DR, LINCOLN, NE 68512-9632
(402) 480-7070
Mailing address
1220 ARIES DR, LINCOLN, NE 68512-9632
(402) 480-7070
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
08/10/2019
Last updated
12/03/2020
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