Organization
LINCOLN SURGERY ENDOSCOPY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBIN F LINAFELTER (CEO)
(402) 484-9090
Entity
Organization
Contact information
Practice address
1730 S 70TH ST, LINCOLN, NE 68506-1613
(402) 484-9050
(402) 483-0476
Mailing address
1710 S 70TH ST, LINCOLN, NE 68506-1676
(402) 484-9090
(402) 483-0476
Taxonomy
Speciality
Code
Description
License number
State
261QE0800X
Endoscopy Clinic/Center
Primary
ASC035
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01288
BC/BS
NE
05
—
10024946800
—
NE
01
—
6800078
UNITED HEALTHCARE
NE
Enumeration date
05/27/2005
Last updated
10/23/2007
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